> ## Documentation Index > Fetch the complete documentation index at: https://help.elationhealth.com/llms.txt > Use this file to discover all available pages before exploring further. # How Elation Billing Corresponds to the HCFA 1500 > Reference guide mapping Elation Billing fields to HCFA 1500 form boxes This article provides a reference guide showing how Elation Billing fields correspond to the HCFA/CMS 1500 claim form boxes. ## Overview The CMS-1500 (formerly HCFA-1500) is the standard claim form used for billing professional services. This guide maps each box on the form to its corresponding location in Elation Billing. ## Visual Guide Click the image to expand it: Image ## Field Reference Table | Box # | Title | Location in Elation Billing | | -------- | ----------------------------------- | ------------------------------------- | | 1 | Insurance Type, Insured's ID | Insurance Coverage | | 1a | Insured's ID Number | Insurance Coverage | | 2 | Patient's Name | Patient Demographics | | 3 | Patient's Birth Date | Patient Demographics | | 4 | Insured's Name | Insurance Coverage → See More | | 5 | Patient Address | Patient Demographics | | 6 | Patient Relationship to Insured | Insurance Coverage → See More | | 7 | Insured's Address, Telephone | Patient Demographics | | 9 | Other Insured's Name | Secondary Insurance | | 9a | Other Insured's Policy/Group Number | Secondary Insurance | | 9d | Other Insurance Plan Name | Secondary Insurance | | 10 | Condition Related To | Superbill → More Fields | | 11 | Insured's Policy Group | Insurance Coverage | | 12 | Information Release Signature | Signature on File | | 13 | Payment Authorization Signature | Signature on File | | 14 | Date of Illness/Injury/Pregnancy | Superbill → More Fields | | 17 | Referring Provider Name | Superbill → Add Referring | | 17a | Non-NPI ID | Superbill → More Fields | | 17b | Referring NPI | NPI on File | | 19 | Additional Claim Information | Superbill → Claim Narrative | | 21 | Diagnoses Codes | Claim Lines (aggregated) | | 22 | Resubmission/Frequency Code | Superbill → Corrected Claim Info | | 23 | Prior Authorization Number | Superbill → + Add Authorization | | 24a | DOS | Claim Line(s) | | 24b | POS | Location | | 24d | CPTs, Modifiers | Claim Line(s) | | 24e | DX Pointer | Claim Line(s) | | 24f | Charges | Claim Line(s) | | 24g | Days/Units | Claim Line(s) | | 24h | EPSDT Family Plan | Charge Line Note or More Fields | | 24i, 24j | Rendering Provider ID | Practice Settings → Providers | | 25 | Federal Tax ID Number | Practice Settings → Practice Info | | 26 | Patient's Account Number | Superbill ID + Practice indicator | | 27 | Accept Assignment | Superbill → More Fields → Box 27 | | 28 | Total Charge | Total of Charges | | 29 | Amount Paid | Pulled from previous Payments | | 31 | Signature of Physician | Name of Rendering, Date Submitted | | 32 | Service Facility Location | Practice Settings → Service Locations | | 33 | Billing Provider Info | Practice Settings → Practice Info | ## Related Articles * [Filing a Claim](/articles/filing-a-claim) * [How Can I Access and Print the CMS-1500 Claim Form](/articles/how-can-i-access-and-print-the-cms-1500-claim-form-in-elation-billing) * [Practice Settings Setup and Overview](/articles/practice-settings-setup-and-overview)