Replace Text Box into the Accident Medical Claim Form

Aug 6th, 2022
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How to Replace Text Box into the Accident Medical Claim Form

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This video tutorial explores the journey of an unrepresented claimant through the claim system compared to that of a claimant representative. It outlines a smooth process where claims are accepted promptly and details alternative pathways in subsequent bite-sized videos. The video highlights that many screens for claim representatives are similar, with only key differences shown. It covers the initial claim submission, liability acceptance, medical review, and acceptance of the medical report, concluding with the final offer. Visuals demonstrate the screens encountered by both unrepresented claimants and claimant representatives after registering with official injury channels.

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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 23 is used to show the payer assigned number authorizing the service(s).
The frequency code is a code on the claim that references the type of submission. Usually, this code is set to 1 (for original claim). However, if you file a corrected claim, you would set this to either 6 or 7. The code 6 is labeled as corrected claim and the code 7 is labeled as replace submitted claim.
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.
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.
If you are submitting a void/replacement paper CMS 1500 claim, please complete box 22. For replacement or corrected claim enter resubmission code 7 in the left side of item 22 and enter the original claim number of the claim you are replacing in the right side of item 22.
Frequency code 8 Void/Cancel of Prior Claim: Indicates this bill is an exact duplicate of an incorrect bill previously submitted. This code will void the original submitted claims.
Complete box 22 (Resubmission Code) to include a 7 (the Replace billing code) to notify us of a corrected or replacement claim, or insert an 8 (the Void billing code) to let us know you are voiding a previously submitted claim.
The default setting for Box 22 on the HCFA 1500 form is 1-Original. There are times that a Payer will request that refiled claims show a specific re-submission code and sometimes a reference number that they provide you with. Common Re-Submission Codes Include: 6-Corrected. 7-Replacement.

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