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Replace Text Box from the Accident Medical Claim Form

Replace Text Box from the Accident Medical Claim Form and eSign it in minutes

Aug 6th, 2022

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How to Replace Text Box from the Accident Medical Claim Form

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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 goes in box 33 on a CMS 1500?

What does the billing box 33 mean on the CMS 1500 form? Box 33 of the CMS 1500 form derives from the selected employeess Claims Settings area in the contact. Provide the billing providers name, address, NPI, EIN, and the phone number.

Is Box 32 on CMS 1500 required?

If a Provider does not have a group NPI number, the national standard for EDI claims is that Box 32 is not necessary as it is already displayed in Box 33. Normally for claims standards, there are two sets of rules; one that applies to printed HCFA claims and a second set of standards that apply to EDI claims.

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 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 is box 32 on HCFA form?

If you are seeing patients outside of your normal office location, the service location address must be disclosed in box 32 of the HCFA form, along with the POS code that coordinates with the service location.

What is Box 32b on claim form?

Box 32b is used to indicate the non-NPI identification number of the service facility as assigned by the payer for the facility. Enter the 2-digit qualifier followed by the ID number. The following qualifiers can be used: 0B - State License Number.

What is box 32 on CMS 1500?

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.

What is box 19 in 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.

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