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GUIDANCE FOR FILLING CLAIM FORM - PART B (To be filled in by the hospital) DATA ELEMENT. DESCRIPTION. FORMAT. SECTION A - DETAILS OF HOSPITAL. SECTION B - DETAILS OF THE PATIENT ADMITTED. SECTION C - DETAILS OF AILMENT DIAGNOSED (PRIMARY) SECTION D - CLAIM DOCUMENTS SUBMITTED-CHECK LIST.
CMS 1500 & UB-04 are used especially for revenue payments, and they vary in terms of usage. Before filing a claim, it's important to know which form to use in order to get proper reimbursement. CMS-1500 & UB-04 are the most common claim forms submitted to the insurance companies.
Step 1. Inform the company and submit the duly filled reimbursement claim form available with the insurer within 30 days from the date of discharge from the hospital. Step 2. Attach all the original copies of the medical reports, medicine bills and hospital bills duly stamped and signed with the claim form.
In case of the reimbursement claim process, the following steps have to be adhered to: Step 1: Verify the details. Before signing on the bill, verify whether the details are accurate. ... Step 2: Collect the documents. ... Step 3: Follow up for documents. ... Step 4: Submit the documents. ... Step 5: Wait for payment processing.
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