Hide Mandatory Field in the Accident Medical Claim Form and eSign it in minutes

Aug 6th, 2022
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How to Hide Mandatory Field in the Accident Medical Claim Form

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small servicenow today we will cover the UI policies and to explain quickly what a UI policy is a UI policy allows you allows you to modify or configure a field on a form and also by applying conditions you can make the field hidden mandatory or read only in our scenario we will make on our demo we will make the field uh well set a field to read only make another field mandatory and also hide some Fields so to go directly into the demo uh we are on the incident record and as you can tell the this is a brand new record it has not been created as you can see there are some fields that already set to mandatory so what we will do is um in this demo if uh we would set the conditions as category software and some category email what will happen is the service and the service offering field will be hidden so they will disappear and then the description field will become mandatory and the configuration item will be set to read only so lets go ahead and create a UI policy and there are two wa

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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.
This number will be transmitted to the payer with each submitted claim. On the HCFA-1500 form, it will print in box 26 under the label Patients Account No.. The first 6 digits will be your client group account number with DrChrono and the following 9 digits are the patients claim id/account number.
Item 32 - For services payable under the physician fee schedule and anesthesia services, enter the name and address, and ZIP code of the facility if the services were furnished in a hospital, clinic, laboratory, or facility other than the patients home or physicians office.
Modifier 26 is appended to billed codes to indicate that only the professional component of a service/procedure has been provided. It is generally billed by a physician. Services with a value of 1 or 6 in the PC/TC Indicator field of the National Physician Fee Schedule may be billed with modifier 26.
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.
An entry in this field may indicate employment related insurance coverage. Item 17 - Enter the name of the referring or ordering physician if the service or item was ordered or referred by a physician. All physicians who order services or refer Medicare beneficiaries must report this data.
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.
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.
Information about Item 17 (Name of Referring Provider or Other Source) Item 17 of the CMS-1500 (02-12) claim form is reserved for the Referring Provider or Other Source. ing to the. National Uniform Claim Committee, NUCC, if multiple providers are involved, enter one provider in the following.
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.

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