Box 31 - Signature of Physician or Supplier

Box31's primary purpose is to place the Full Name and Credentials of the provider of service for the sessions shown in Box24 of the HCFA-1500.  In addition, DELPHI32 will place the State Registration/License # or any other selectable code below the full name and credentials.  Lastly, DELPHI32 will print the date that the claim was created in the lower right section of Box 31.

Notes:

• The Full Name and Credentials for each provider can be added and edited in the Providers of Service Setup screen.

• Providers of Service are assigned on a client by client basis in the Client Medical Information screen.  

• Each time you Record a Session, DELPHI32 uses the provider of service listed in the Client Medical Information screen as the default provider of service for that session.  

• When Recording a Session, you may change the provider of service for the individual session if they are different from the current provider of service in the Client Medical Information screen.