Miscellaneous Claim Information Section
- Identify a referring provider when applicable to the service billed.
- There are fields in this section for various types of services. This includes fields for:
- CLIA number (lab)
- IDE number (clinical trials)
- NPI of home health agencies (care plan oversight)
- Facility information
- Homebound and hospice provider indicators
- Dates care was assumed/relinquished (split post-op care)