Insert Cross Out Option to the Claims Reporting Form

Aug 6th, 2022
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  2. Use DocHub advanced PDF file editing tools to Insert Cross Out Option to the Claims Reporting Form.
  3. Revise your document and then make more changes if required.
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How to Insert Cross Out Option to the Claims Reporting Form

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Hey, this is Taylor with the strikethrough shortcut for Microsoft Word, and theres two different ways to do this on a PC. First off home tab, this is the strikethrough command that we want to use our keyboard shortcuts to get at. So selecting it once, well apply the strikethrough unselecting it or selecting it second time, will remove it, but we want to use our keyboard shortcuts. So the keyboard shortcuts on a PC is Alt H four and notice that theres no plus signs here between the keys. So Im just going to hit let go of the alt key on my keyboard. Youre gonna see my ribbon illuminates with a bunch of different letters. Ill hit H for the home tab and then Ill hit four, which will immediately apply that single strikethrough effect. All right, so Alt H four will either apply or remove the strikethrough effect depending on Alt H four whether you already have the strikethrough effect applied. Now another keyboard shortcut you can use, which actually opens up a lot of other different

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Billing Provider Information Phone Number name, address, and phone number of provider requesting to be paid for services rendered. Billing provider address on both a CMS 1500 and UB must be the physical location; not a PO Box.
NOTE: Box 9d on the HCFA / CMS 1500 form is where the Secondary Insurance for a patient populates.
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.
Box 14 - Date of Current Illness, Injury, or Pregnancy (LMP) Enter the applicable qualifier to identify which date is being reported.
Box 17a. The Other ID number of the referring, ordering, or supervising provider is reported in 17a in the shaded area. The qualifier indicating what the number represents is reported in the qualifier field to the immediate right of 17a.
Box 9 indicates that there is another policy that may cover the patient. The insureds name is entered as Last Name, First Name, Middle Initial, separated by commas.
Other CMS-1500 Codes Box 11b - Other Claim ID. Box 14 - Date of Current Illness, Injury, or Pregnancy (LMP) Box 15 - Other Date. Box 17 - Name of Referring Provider or Other Source. Box 17a, 19, 24i, 32b, 33b - Identifier Qualifiers. Box 21 - ICD indicator. Box 22 - Bill Frequency Code. Box 24h - EPSDT Reason Codes.
How to fill out a CMS-1500 form The type of insurance and the insureds ID number. The patients full name. The patients date of birth. The insureds full name, if applicable. The patients address. The patients relationship to the insured, if applicable. The insureds address, if applicable. Field reserved for NUCC use.

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