Box 33b is the Other ID# and is on the HCFA 1500 paper claim form.
The address and name of the facility where services were rendered can be found in box 32.The location's name, address, city, state, and ZIP code can be entered.If Box 32 has the same information as Box 33, the clearinghouse will remove it from the file.
How many boxes are there in the form?The boxes 12 and 13 on the form are important, but are often overlooked.
The Health Care Finance Administration form is used in the settlement of government insurance programs.
The Uniform Claim Form Task Force was replaced by the NUCC.The NUCC wanted to develop a standardized data set for use in an electronic environment, but applicable to and consistent with evolving paper claim form standards.
How do you complete a claim form?A copy of the patient's insurance card is required.
Box 33b is used to identify the Billing Provider.The provider's code is listed in Box 33b.
Title is reserved for NUCC use.The field used to report "Other insured's Date of Birth, Sex" does not exist in 5010A1, so it has been eliminated.
Patient related info such as their name, address, date of birth, marital status, gender, insurance info, and possibly employer info if work related.In the bottom half of the CMS-1500?Provider's service and billing info include diagnosis and procedure codes, hospitalization dates, NPI and tax ID numbers.
The standard claim form used by a non-institutional provider or supplier to bill Medicare carriers and durable medical equipment regional carriers is the CMS-1500 form.
What is the meaning of "other insured" on the claim form?Someone who is insured may cover the patient.
Box 17a is the non-NPI ID of the referring provider.The number is reported in the field to the right of 17a.
FormCMS-1500 is the standard paper claim form used to bill an insurance for rendered services and supplies.Information about the client, their insurance policy, and their diagnosis and treatment is provided.Most insurances allow you to send an electronic version.
The health plan pays the claims to the billing provider.The rendering provider performs the service.
Hospitals, nursing facilities, in-patient, and other facility providers use the UB-04 as a claim form.The HCFA-1500 is a medical claim form used by individual doctors and practices, nurses, and professionals.
Any institutional provider can use the uniform billing form to bill medical and mental health claims.The standard form used by all insurance carriers was developed by the Centers for Medicare and Medicaid.