Replace Name Field to the Claims Reporting Form and eSign it in minutes

Aug 6th, 2022
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How to Replace Name Field to the Claims Reporting Form

4.8 out of 5
38 votes

While working on Word we often face a problem. Many times we want to send a proposal to a new customer. We remember that we have already sent a similar proposal to an existing customer. We open the original file, save it as a new file and search replace the name of the customer. Sometimes the name of the old customer remains and that can create a lot of trouble for you. Here is a brilliant way of using a very nice feature of Word called Fields, so that you never have that particular problem. Instead of manually typing the name of the customer every time what you should do is create a field. Open File menu - Info - Properties - Advanced Properties - the last tab allows you to create custom fields. Im going to create the field called customer name and type the name of one of the customers and just click add. Assume this was your sales proposal. Anytime you need the name of the customer go to this Insert - Quick Parts - Fields. There are a lot of fields, dont get worried. Choose one of

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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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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.
The street address, area, state, ZIP code, and telephone number are included. Box 11: This field requires the insureds policy or group number to be filled.
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.
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.
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 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.
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.

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