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Delete Field Settings from the Accident Medical Claim Form

Delete Field Settings from the Accident Medical Claim Form

Aug 6th, 2022

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How to Delete Field Settings from the Accident Medical Claim Form

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Welcome to "Go Beyond," a series by Code Metro aimed at providing practical, lesser-known tips applicable to both business and career. Topics and speakers will vary, and viewers are encouraged to visit the website for updates and share feedback or suggestions for future content. The first edition focuses on tips for completing the CMS 1500 form to expedite payments, presented by Dr. Kim Finger, Code Metro's Chief Operating Officer. Dr. Finger has significant experience in autism services, having worked as a direct service provider in Connecticut and previously serving as COO at Autism Spectrum Therapies in California, where she established their insurance billing department.

Got questions?

Below are some common questions from our customers that may provide you with the answer you're looking for. If you can't find an answer to your question, please don't hesitate to reach out to us.

What goes in box 17b on CMS 1500?

What is it? Box 17b is where the NPI of the referring provider is entered. The NPI number refers to the HIPAA National Provider Identifier number.

What is box 14 on the CMS 1500 claim form?

Box 14 - Date of Current Illness, Injury, or Pregnancy (LMP) Enter the applicable qualifier to identify which date is being reported.

What is Box 17a on CMS 1500?

What is it? Box 17 identifies the name of the referring provider on the claim. Enter the applicable qualifier to the left of the vertical dotted line to identify which provider is being reported.

Is Box 17 required on a CMS 1500?

Text Captions: Item 17 Required if services are ordered, referred or supervised. Enter the name and qualifier of the referring, ordering or supervising physician if the item or service was ordered, supervised or referred by a physician.

What is field 23 in CMS 1500 claim form?

Box 23 is used to show the payer assigned number authorizing the service(s).

What goes in box 19 on a CMS 1500?

Box 19 is commonly used on paper claims for data not otherwise accommodated by the CMS-1500 claim form. Data entered in this field will print but will NOT export electronically. Please contact your payer to determine where the data is expected.

What is box 15 on a HCFA 1500 form?

A point of origin code discloses to the payer the source or method of the patients referral for admission. The point of origin code is similar to a place of service code on a professional claim/HCFA-1500 form.

What is box 17 on a 1500?

Box 17 - Name of Referring Provider or Other Source Enter the applicable qualifier to identify which provider is being reported. Enter the qualifier to the left of the vertical, dotted line. DN. Referring Provider. DK.

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