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Delete Line to the Accident Medical Claim Form

Delete Line to the Accident Medical Claim Form

Aug 6th, 2022

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How to Delete Line to the Accident Medical Claim Form

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Getting back to work safely as soon as possible is crucial for injured workers in Washington State. When an on-the-job injury occurs, workers must collaborate with their medical provider to submit a Report of Accident (ROA) to the Washington State Department of Labor and Industries (L&I). Traditional methods like mailing or faxing the report can result in significant delays, as L&I handles about 90,000 pages daily, leading to inefficiencies due to incomplete forms or poor quality submissions. These delays can extend recovery times and negatively impact the injured worker, their family, and their employer. Submitting the report online via FileFast can expedite the claims process considerably.

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.

How do I delete a claim?

Call your insurance company with your name and claim number, and ask them to cancel your claim. Be prepared to explain why you want to cancel the petition, and ask if you need any documentation to finalize the cancellation. Please notice that your insurance provider is likely to report the incident.

What fields are on a CMS 1500 form?

Field by Field Explanation Of The CMS-1500 Form a. PATIENT NAME from Patient Master. Patient DOB and SEX from Patient Master. Name of the INSURED PERSON of the destination payer in Insurance Information screen under Patient Master. PATIENT ADDRESS, CITY, STATE, ZIP CODE HOME PHONE from Patient Master.

What is field 22 in CMS 1500 claim form?

Complete box 22 (Resubmission Code) to include a 7 (the Replace billing code) to notify us of a corrected or replacement claim, or insert an 8 (the Void billing code) to let us know you are voiding a previously submitted claim. Enter the Blue Cross NC original claim number as the Original Ref.

What is field 23 in CMS 1500 claim form?

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

What is field 24 in CMS 1500 claim form?

A Place of Service (POS) is a field used when completing a CMS 1500 form to submit a claim to insurance. It indicates the location in which the health care service is actually provided.

What goes in box 23 on the CMS 1500 form?

Box 23 - TITLE: Prior Authorization Number (this field is also used for CLIA numbers) INSTRUCTIONS: Enter any of the following: prior authorization number, referral number, or Clinical Laboratory Improvement Amendments (CLIA) number, as assigned by the payer for the current service.

Can you edit an insurance claim?

Make Changes, Add Reference/Resubmission Numbers, and Then Resubmit: To resolve a claim problem, typically you will edit the charges or the patient record, add the payer claim control number, and then resubmit or rebatch the claim.

What is Box 14 1500 form?

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

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