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Delete Field Validation to the Accident Medical Claim Form

Delete Field Validation to the Accident Medical Claim Form

Aug 6th, 2022

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How to Delete Field Validation to the Accident Medical Claim Form

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In this video, you will learn how to submit an online claim form for CTP insurance claims and request a medical certificate from your practitioner. Start by visiting ctportal.mace.qld.gov.eu. If it’s your first time, read the terms and conditions and register by clicking on "login" to create a new account. For assistance with account creation and login, refer to the linked tutorial on registering and logging into the Queensland CTP Claim Portal. After logging in, navigate to the online claim form or enact dashboard to create a new form. Carefully read the displayed information and fill in the required details. Use the "next" and "previous" buttons at the bottom of each page or the navigation bar on the left to move between sections of the form.

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 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 field 23 in CMS 1500 claim form?

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

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 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.

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 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.

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.

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