Replace Fileds into the Claims Reporting Form and eSign it in minutes

Aug 6th, 2022
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How to Replace Fileds into the Claims Reporting Form

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- [Jeremy] Hey, this is Jeremy from Shine Insurance and today were going to talk about roof claims. Generally, thats wind or hail damage to your roof. Weve got a ton of it going on in my area right now. I deal with clients every day that are experiencing these kinds of claims. So I wanted to create a video that just walked through it for you and helped you to understand your insurance policy and how it would respond. Whether youre experiencing a roof claim right now or whether you just want to be prepared for when one happens. So lets get this going here. Lets talk about first, what we will learn. So were going to talk first about why insurance companies have different rules for your roof than for the rest of your house. Its actually set up in kind of a different way. And then well talk about the three types of roof coverage. The first being the best and thats Replacement Cost. The second, a little bit lesser, is Actual Cash Value. And the third, that you really hope you don

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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.
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Frequency code 8: Must be used to fully void a claim. Must represent the entire claimnot just the line or item that you are retracting. Must serve as a full void of the claim (a 1:1 request). You cannot submit one resubmission claim for multiple original claims.
Box 17 - Name of Referring Provider or Other Source Enter the applicable qualifier to identify which provider is being reported. Enter the qualifier to the left of the vertical, dotted line. DN. Referring Provider.
Text Captions: Item 17a 17b 17a DO NOT complete. 17b Required if services are ordered, referred or supervised. If the service is referred or ordered, enter the national provider identifier (NPI) of the referring/ordering individual provider only.
Box 17 - Name of Referring Provider or Other Source Enter the applicable qualifier to identify which provider is being reported. Enter the qualifier to the left of the vertical, dotted line. DN. Referring Provider.
What does the referring box 17 mean on the CMS 1500 form? Box 17 of the CMS 1500 form derives from the selected employees Claims Settings area in the contact. Provide the referring providers name and the NPI number.
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 it? Box 17 identifies the name of the referring provider on the claim. Enter the applicable qualifier to the left of the vertical dotted line to identify which provider is being reported.
A replacement claim is billed when a specific claim needs to be restated in its entirety, except for the identifying. information. The original claim is considered null and void. The information on the replacement claim submission replaces the previous claim.

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