*Loops will vary by Payer*

Electronic Location:
Loop 2400
"Service Line Number"

Segments

When submitting a PS1 segement, the facility information
must also be in either Loop 2310D or 2420C.

Medisoft Location for Paper Claims

Box 20

Outside lab? Yes or No will be selected based on whether or not the Outside Lab Work check box is selected or cleared on the Case window, Miscellaneous tab. In addition, the line will show the amount entered in the Lab Charges field.