Insert Selected Option in the Claims Reporting Form

Aug 6th, 2022
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How to Insert Selected Option in the Claims Reporting Form

5 out of 5
27 votes

im excited for todays video because im going to show you all how to do something that i know a lot of people are trying to figure out how to do with their forms what were going to do is create a form that when a user selects an option from a drop down that certain text will appear in your document then if that user selects something different from that drop-down list then a different set of text will appear you can use this for a wide variety of types of forms or or applications that you may want to use this for but in todays example im going to show you using a time off request form so well take a look at the form and how it functions and then well actually build it from scratch so youll learn how to do it all right so lets take a look at this this is a time off request form that ive created and i have a todays date field that will automatically populate with todays date whenever a user opens up the document we have an employee name field the managers name and then when

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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.
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.
9. Name of the INSURED PERSON of other payer in Insurance Information screen under Patient Master.
Box 24 E: This field is for indicating the Diagnosis Code. You need to enter the diagnosis code from box 21. Box 25: The form asks you to enter the Federal tax ID number in this box. Box 28: In this field, please enter the total bill for all services in dollars and cents.
Box 23 is used to show the payer assigned number authorizing the service(s).
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.
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.
24F Required Charges - Enter the charge for service in dollar amount format. If the item is a taxable medical supply, include the applicable state and county sales tax. 24G Required Days or Units - Enter the number of medical visits or procedures, units of anesthesia time, oxygen volume, items or units of service, etc.
Note: Claims for Physical, Occupational and Speech Therapy billed on a CMS 1500 form should include the rendering providers National Provider ID (NPI). The rendering providers NPI, and taxonomy, if applicable, should be entered in box 24J on the CMS 1500. This will ensure proper processing and payment for services.

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