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Remove Smart Field into the Accident Medical Claim Form

Remove Smart Field into the Accident Medical Claim Form

Aug 6th, 2022

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How to Remove Smart Field into the Accident Medical Claim Form

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42 votes

In this tutorial, you'll learn how to add or remove fields in the Remedy Force Console form. The form consists of various sections, including client details, incident details, status, and priority. The focus is on modifying the client details section by adding a "Client VIP" field. To do this, right-click to set up a new tab in Remedy Force, navigate to "Create" and then "Objects," and locate the incident object. Click on "Field Sets" to view those associated with the console, such as "Client Details Console." Select "Edit" for the client details, find the "Client VIP" field, and drag it onto the form. Save your changes and reload the Remedy Force Console to see the updated form.

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.

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.

What fields are on a CMS-1500 form?

Field by Field Explanation Of The CMS-1500 Form a. PATIENT NAME from Patient Master. Patient DOB and SEX from Patient Master. Name of the INSURED PERSON of the destination payer in Insurance Information screen under Patient Master. PATIENT ADDRESS, CITY, STATE, ZIP CODE HOME PHONE from Patient Master.

What is field 23 in CMS 1500 claim form?

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

What is field 12 in CMS-1500?

12. PATIENTS OR AUTHORIZED PERSONS SIGNATURE I authorize the release of any medical or other information necessary to process this claim. I also request payment of government benefits either to myself or to the party who accepts assignment below.

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 information goes into Block 11 of a CMS claim form?

item 11. Enter the employers name, if applicable. If there is a change in the insureds insurance status, e.g., retired, enter either a 6-digit (MM | DD | YY) or 8-digit (MM | DD | CCYY) retirement date preceded by the word RETIRED.

What goes in box 17a on CMS-1500?

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.

What is field 11 in CMS 1500?

KEY: R = Required | NR = Not Required | S = Situational, only use if appropriate specific to claim Field IDField DescriptionData Type10cS10dCLAIM CODES (DESIGNATED BY NUCC)S11INSUREDS POLICY GROUP OR FECA NUMBERNR11aINSUREDS DATE OF BIRTH, GENDERNR59 more rows

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