HMS gets data from the 1500 and UB-04 forms.

The color of the HMS text matches the color of the 1500 and/or UB-04 field where the data comes from.

HMS Provider Fields:

• 3 SERVICING-PROV-NUMBER
• 4 SERVICING-PROV-NPI
• 63 PAY-TO-PROV-NUMBER
• 64 PAY-TO-PROV-NPI
• 65 REFERRING-PROV-NUMBER
• 66 REFERRING-PROV-NPI