We have added a new field "Box 64" in UB04 information
Navigate to Patient >> Manage Patients.
Search for the patient. Click on the respective patient and it will take you to the patient dashboard. On right side of patient dashboard there is related tasks. Select UB04 information under related tasks.
Once user saves the data added in the Box 64 it will get saved and the same data should be displayed in the Print UB04 section (Preview UB04 & Download EDI-837I):
Document control number on UB04 form.
Document control number on 837I.