--- title: Box 11 – Insured's Policy Group or FECA Number description: What Box 11 and boxes 11a to 11d of the CMS-1500 mean, and how Pabau fills the group number and insured details on claims. --- [Skip to content](https://support.pabau.com/en/pabau2/box-11-insureds-policy-group-or-feca-number#main-content) [![pabau logo white](https://support.pabau.com/hubfs/pabau%20logo%20white.svg)](https://support.pabau.com/en/pabau2?hsLang=en) Open main navigation Close main navigation - [Get Support](https://pabau.com/support-center/) [Get Support](https://pabau.com/support-center/) Pabau Knowledge Base - There are no suggestions because the search field is empty. 1. [Pabau Knowledge Base](https://support.pabau.com/en/pabau2?hsLang=en) 2. [Insurance Billing](https://support.pabau.com/en/pabau2/insurance-billing?hsLang=en) 3. [US Insurance Billing Additional Resources](https://support.pabau.com/en/pabau2/insurance-billing?hsLang=en#us-insurance-billing-additional-resources) # Box 11 – Insured's Policy Group or FECA Number On the CMS-1500 claim form, **Box 11** and its sub-boxes describe the insured person's policy: the policy group or FECA number (11), the insured's date of birth and sex (11a), the plan name (11c), and whether another health benefit plan exists (11d). This guide explains what each box means and how Pabau fills it. **NOTE:** This article is part of the *US Insurance Billing Additional Resources* series, which walks through every box of the CMS-1500. If you are new to claims in Pabau, start with [Creating a US Professional (CMS 1500) Claim](https://support.pabau.com/en/pabau2/creating-a-us-professional-cms-1500-claim?hsLang=en). ## Box 11 — Insured's policy group or FECA number ![Box 11 of the CMS-1500 claim form for the insured's policy group or FECA number](https://support.pabau.com/hubfs/Pabau%202%20Knowledge%20Base/cms1500-box-11-form.png) Box 11 holds the policy's **group number** — a different number from the member ID in Box 1a. The member ID identifies the person; the group number identifies the employer or group plan the policy belongs to, and it usually appears on the insurance card next to the member ID. Not every policy has one, though some payers require it on submissions. For claims billed under the Federal Employees' Compensation Act, the **FECA number** goes in this box instead. **How Pabau fills it** The claim's **Insurance** section (CMS-1500 boxes 1a, 4, 7, 11) has a **Group number** field. The value comes from the group ID on the client's insurance policy — open the **Insurance** tab of the left panel on the client card to see each policy — and you can correct it on the claim itself before validating or sending. For a FECA claim, enter the FECA number in the same field. ![The Insurance section of a Pabau claim with the Group number, Insured date of birth, and Insured sex fields](https://support.pabau.com/hubfs/Pabau%202%20Knowledge%20Base/cms1500-box4-insurance-section-full.png) **TIP:** Do not put the member ID here — that belongs in Box 1a as the **Member / policy number**. See [Box 1 – Insurance Coverage Type](https://support.pabau.com/en/pabau2/box-1-insurance-coverage-type?hsLang=en) for how that box is filled. ## Box 11a — Insured's date of birth and sex ![Box 11a of the CMS-1500 claim form with the insured's date of birth cells and sex checkboxes](https://support.pabau.com/hubfs/Pabau%202%20Knowledge%20Base/cms1500-box-11a-form.png) Box 11a carries the policy holder's **date of birth** and **sex** as the insurance company has them on file. When the patient is their own policy holder, this box repeats the patient's details from Box 3. **How Pabau fills it** The Insurance section has matching **Insured date of birth** and **Insured sex** fields. When the patient holds the policy, leave them blank — Pabau mirrors the patient's details automatically, just as it does for the insured's name in Box 4. When someone else holds the policy, enter that person's date of birth and sex here. **On the electronic claim:** the same mirroring applies, so the insured's details are always complete when the claim is sent. ## Boxes 11b, 11c, and 11d **Box 11b (Other claim ID):** Pabau always leaves this box blank. If a payer requires a value, add it in the Claim.MD portal after sending, or hand-fill the printed form. **Box 11c (Insurance plan or program name):** fill in **Insurance plan name** in the claim's Insurance section. It is printed here and sent on the electronic claim. Left blank, the printed form shows the payer's name instead. **Box 11d (Is there another health benefit plan?):** on the printed form, Pabau marks YES when the claim names another plan in Box 9, as a secondary claim does, and NO otherwise. Additional coverage is billed by creating a secondary claim once the primary payer has paid. See [Submitting Secondary Claims in Pabau](https://support.pabau.com/en/pabau2/submitting-secondary-claims-in-pabau?hsLang=en). To set up client insurance policies and their group numbers, see [Insurance Guide Part 2: Client Insurance Setup in Pabau](https://support.pabau.com/en/pabau2/insurance-guide-part-2-client-insurance-setup-in-pabau?hsLang=en).   - [Home Page](https://support.pabau.com/en/pabau2/home-page?hsLang=en#main-content) - [Home Page](https://support.pabau.com/en/pabau2/home-page?hsLang=en#home-page) - [Account & Billing](https://support.pabau.com/en/pabau2/account-billing?hsLang=en#main-content) - [Account access](https://support.pabau.com/en/pabau2/account-billing?hsLang=en#account-access) - [Account settings](https://support.pabau.com/en/pabau2/account-billing?hsLang=en#account-settings) - [Billing](https://support.pabau.com/en/pabau2/account-billing?hsLang=en#billing) - [Team](https://support.pabau.com/en/pabau2/team?hsLang=en#main-content) - [Team Overview](https://support.pabau.com/en/pabau2/team?hsLang=en#team-overview) - [Adding and Managing Staff Members](https://support.pabau.com/en/pabau2/team?hsLang=en#adding-and-managing-staff-members) - 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