Remove Phone Field in the Claims Reporting Form and eSign it in minutes

Aug 6th, 2022
Icon decoration
0
forms filled out
Icon decoration
0
forms signed
Icon decoration
0
forms sent
Service screenshot
01. Upload a document from your computer or cloud storage.
Service screenshot
02. Add text, images, drawings, shapes, and more.
Service screenshot
03. Sign your document online in a few clicks.
Service screenshot
04. Send, export, fax, download, or print out your document.

Decrease time spent on document administration and Remove Phone Field in the Claims Reporting Form with DocHub

Form edit decoration

Time is an important resource that every business treasures and attempts to transform into a benefit. When choosing document management software program, be aware of a clutterless and user-friendly interface that empowers consumers. DocHub provides cutting-edge features to enhance your file administration and transforms your PDF file editing into a matter of one click. Remove Phone Field in the Claims Reporting Form with DocHub in order to save a ton of efforts and boost your productivity.

A step-by-step instructions on the way to Remove Phone Field in the Claims Reporting Form

  1. Drag and drop your file to your Dashboard or add it from cloud storage solutions.
  2. Use DocHub innovative PDF file editing features to Remove Phone Field in the Claims Reporting Form.
  3. Change your file making more adjustments if needed.
  4. Add fillable fields and allocate them to a specific receiver.
  5. Download or send your file for your customers or colleagues to securely eSign it.
  6. Get access to your files in your Documents folder at any time.
  7. Make reusable templates for commonly used files.

Make PDF file editing an easy and intuitive process that helps save you plenty of precious time. Easily adjust your files and send them for signing without adopting third-party software. Give attention to relevant duties and enhance your file administration with DocHub right now.

PDF editing simplified with DocHub

Seamless PDF editing
Editing a PDF is as simple as working in a Word document. You can add text, drawings, highlights, and redact or annotate your document without affecting its quality. No rasterized text or removed fields. Use an online PDF editor to get your perfect document in minutes.
Smooth teamwork
Collaborate on documents with your team using a desktop or mobile device. Let others view, edit, comment on, and sign your documents online. You can also make your form public and share its URL anywhere.
Automatic saving
Every change you make in a document is automatically saved to the cloud and synchronized across all devices in real-time. No need to send new versions of a document or worry about losing information.
Google integrations
DocHub integrates with Google Workspace so you can import, edit, and sign your documents directly from your Gmail, Google Drive, and Dropbox. When finished, export documents to Google Drive or import your Google Address Book and share the document with your contacts.
Powerful PDF tools on your mobile device
Keep your work flowing even when you're away from your computer. DocHub works on mobile just as easily as it does on desktop. Edit, annotate, and sign documents from the convenience of your smartphone or tablet. No need to install the app.
Secure document sharing and storage
Instantly share, email, and fax documents in a secure and compliant way. Set a password, place your documents in encrypted folders, and enable recipient authentication to control who accesses your documents. When completed, keep your documents secure in the cloud.

Drive efficiency with the DocHub add-on for Google Workspace

Access documents and edit, sign, and share them straight from your favorite Google Apps.
Install now

How to Remove Phone Field in the Claims Reporting Form

5 out of 5
62 votes

I in this demo video of foam Titan and Salesforce I will concentrate on conditions and now they can help us to do a lot more than just showing and hiding fields lets get going and the first thing I want to bring is a text box Ill call it name now Ill copy it and with my wild imagination Ill call it name too now what I want to do is lets say we want name two to only be mandatory when name is populated so lets do that Ill go to conditioning set conditions and say when current field which is name is not empty I want name two to be mandatory and Ive got the support opposite which means name two will not be mandatory when when name is empty so thats it that in action lets do that and there we go its not mandatory type something in it is mandatory if I remove it its not easy lets see what else we can do with conditions I click again configure conditions and instead of mandatory I want to enable/disable not a problem select enable and if I save that and refresh the page again now

video background

Got questions?

Below are some common questions from our customers that may provide you with the answer you're looking for. If you can't find an answer to your question, please don't hesitate to reach out to us.
Contact us
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.
To void a claim, complete the following claim form fields: Field 22: Include the most appropriate void reason code from the table. In the Original Reference Number area, enter the last paid Internal Control Number (ICN) of the claim. Medicaid Resubmission Code ORIGINAL REF.
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.
KEY: R = Required | NR = Not Required | S = Situational, only use if appropriate specific to claim Field IDField DescriptionData Type21DIAGNOSIS OR NATURE OF ILLNESS OR INJURYR22RESUBMISSIONNR23PRIOR AUTHORIZATION NUMBERNR24SHADED AREA SUPPLEMENTAL INFORMATION59 more rows
1500 Claim Form Required Fields 1500 Required Fields Number and NameExample1a. Insureds ID #1234567892. Patients NamePatient, Mary R.3. Patients DOB Patients SEX01012000 M or F4. Insureds NamePatient, Joe18 more rows
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.
Box 23 is used to show the payer assigned number authorizing the service(s).
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.

See why our customers choose DocHub

Great solution for PDF docs with very little pre-knowledge required.
"Simplicity, familiarity with the menu and user-friendly. It's easy to navigate, make changes and edit whatever you may need. Because it's used alongside Google, the document is always saved, so you don't have to worry about it."
Pam Driscoll F
Teacher
A Valuable Document Signer for Small Businesses.
"I love that DocHub is incredibly affordable and customizable. It truly does everything I need it to do, without a large price tag like some of its more well known competitors. I am able to send secure documents directly to me clients emails and via in real time when they are viewing and making alterations to a document."
Jiovany A
Small-Business
I can create refillable copies for the templates that I select and then I can publish those.
"I like to work and organize my work in the appropriate way to meet and even exceed the demands that are made daily in the office, so I enjoy working with PDF files, I think they are more professional and versatile, they allow..."
Victoria G
Small-Business
be ready to get more

Edit and sign PDF for free

Get started now