Block 32 on the CMS-1500 form requires which facility information?

Block 32 on the CMS-1500 form requires which facility information?

• A. Facility name, address, and ZIP code
• B. Patient's name and date of birth
• C. Facility's license number and tax ID
• D. Billing provider's contact number

Answer: (A)

Block 32 is used to identify the facility where the service was performed. It should include the facility’s name, street address, and ZIP code so the payer knows exactly where the care was provided and can route and validate the claim correctly. This information distinguishes the place of service from the patient’s details or from the billing provider’s identifiers. The other options don’t fit because patient name and date of birth belong in patient demographics fields, license numbers and tax IDs aren’t recorded in this block, and the billing provider’s contact number goes in a different section dedicated to the billing provider.

Block 32 is used to identify the facility where the service was performed. It should include the facility’s name, street address, and ZIP code so the payer knows exactly where the care was provided and can route and validate the claim correctly. This information distinguishes the place of service from the patient’s details or from the billing provider’s identifiers. The other options don’t fit because patient name and date of birth belong in patient demographics fields, license numbers and tax IDs aren’t recorded in this block, and the billing provider’s contact number goes in a different section dedicated to the billing provider.