Easily Insert Data from the Claims Reporting Form

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How to Insert Data from the Claims Reporting Form

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So my name is Nathan Shippee, Im an associate professor in the division of health policy management at the University of Minnesota, and I am going to be talking in this segment about the source and processing of claims data. The reason that this is relevant, it might sound kind of dry, but the reason that we do it is because a lot of times we get questions from people where our answer kind of goes back to really what the nature of these data are, what they look like, reflects a data generating process. And as some people might have seen in news media and other places, you know, sometimes when people use data as they are, without really considering how the data were created and how the data were generated, that can lead to problems in how we use the data because we forget that these are secondary data and they come as a result of a process that researchers did not design. So of course, there will be time for questions at the end of the segment. If you do have q

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What information is needed to fill out a CMS 1500 claim form?

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.

What goes in box 32 on the CMS 1500 claim form?

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.

What information goes in box 32 on CMS 1500?

What does the Facility Box 32 mean on the CMS 1500 form? Box 32 of the CMS 1500 form derives from the selected employees Claims Settings area in the contact. Provide the name, address, NPI, and the phone number of the facility/location in which the service was provided.

What is box 32 on HCFA form?

If you are seeing patients outside of your normal office location, the service location address must be disclosed in box 32 of the HCFA form, along with the POS code that coordinates with the service location.

What is Box 32b on claim form?

Box 32b is used to indicate the non-NPI identification number of the service facility as assigned by the payer for the facility. Enter the 2-digit qualifier followed by the ID number. The following qualifiers can be used: 0B - State License Number.

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 32 required on CMS 1500 form?

If a Provider does not have a group NPI number, the national standard for EDI claims is that Box 32 is not necessary as it is already displayed in Box 33. Normally for claims standards, there are two sets of rules; one that applies to printed HCFA claims and a second set of standards that apply to EDI claims.

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.

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