The facility's name and ZIP code are captured in which block?

• A. Block 32
• B. Block 31
• C. Block 33
• D. Block 34

Answer: (A)

On the CMS-1500 form, the block that is reserved for facility information is the place where the facility’s name and ZIP code are captured. This block is specifically intended to hold the facility’s identifying details, keeping them distinct from patient data, insured information, and provider signatures. Because the other blocks are used for different parties or pieces of data, they do not contain the facility’s name and ZIP code. So, the facility’s name and ZIP code belong in the block set aside for facility information.