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hello medical billing and coding students my name is Miss Brighton today were going to be going over how to fill out a CMS 1500 form in cengage mindtap now these assignments are extremely picky so thats why were going to go through one today just so you can see what theyre looking for all right now youre going to be going back and forth between the case study and the actual form I recommend downloading this and having it open on a different screen or having it side-by-side with your just so that it doesnt take up your entire spring so Im gonna hide that for a second and were gonna take a look at the actual CMS 1504 were gonna start on the top right this is going to be the address where youre going to mail the insurance claim to this is to the insurance company because once we fill this whole form out and we fold it and we shove it in an envelope this address is going to peek through the envelope window so they give us an area where were going to send our claim to now just yo