*Loops will vary by Payer*

Electronic Location:
Loop 2310A
"Referring Provider Name"

Segments

*Loops will vary by Payer*

Electronic Location:
Loop 2420E
"Ordering Physician Name"

Segments

Medisoft Location for Paper Claims

Box 17

Name of referring physician. This information comes from the Case window, Account tab, Referring Provider field .Only one can be used. If more than one exists, the system will use the following order: 1. referring, 2. ordering, 3. supervising. If both supervising and referring exist on the case, the system will print the referring provider. DN = Referring Provider DK = Ordering Provider DQ = Supervising Provider