Easily Insert SNN Field to the Claims Reporting Form

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How to Insert SNN Field to the Claims Reporting Form

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good afternoon my name is Anthony way and Im here with my colleague Judy Gonzalez and we are of the Los Angeles County Department of Consumer and business Affairs welcome to Welcome to our webinar please take note that your microphone is currently on mute you may ask questions at any time including during the presentation by submitting through the chat box located on the lower right hand corner of the WebEx page it is a good idea to leave the chat box open even if you dont ask questions because youll be able to view valuable information entered in a chat throughout the webinar this webinar is being recorded and will be available on our website along with other resources just go to dcba.lacounty.gov and click on a small claims tab at the conclusion of todays presentation we would appreciate you completing a four question survey to let us know how we did please give us suggestions for additional webinars all feedback is welcome Judy take it away good afternoon everybody my name is Ju

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What is the social security number for CMS 1500?

Social Security Numbers Required When an injured worker is not assigned a social security number, enter 999999999 in Field 1a of CMS 1500. If an injured worker is assigned a social security number but does not want to reveal the number for security or other reasons, do not enter 999999999 in Field 1a.

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 17a on a CMS 1500 form?

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. LU Location Number (This qualifier is used for Supervising Provider only.)

What is field 23 in CMS 1500 claim form?

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

What goes in box 19 on a CMS 1500?

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.

What is the field 9 in CMS 1500 claim form?

9. Name of the INSURED PERSON of other payer in Insurance Information screen under Patient Master.

Where does a social security number go on a CMS 1500?

Your Individual number must be entered in box number 24J of the CMS-1500 form. If you are a non-physician practitioner and do not have a medical license number, please use your social security number in box 19. If you are an ancillary provider, please provide your group NPI# in box 24J.

What box on the CMS 1500 form does social security number SSN or EIN go in?

Box 25 is used to indicate the unique identifier assigned by a federal or state agency. This is either a Federal Tax ID or Social Security Number. Enter an X in the appropriate box to indicate which number is being reported. Only one box can be marked.

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Insert SNN Field to the Claims Reporting Form