HIPPA mandated electronic transmission for claims. This is called an 837 P claim. The information required by 837 P is based upon the CMS 1500 claim form, a paper claim form. The information on the CMS form and the electronic transmission standards for the 837 P claim are essentially the same. Therefore, we can use the CMS 1500 claim form as a means of explaining the information required in order to get a claim paid by a payer. Most practices and hospitals use practice management software to create these claims, but it is important to understand the data required on the 1500 form to ensure that clean claims are being transmitted. The national uniform claims committee (UCC), an American Medical Association vehicle, is responsible for determining the content of both HIPAA and CMS 1500 claims. The CMS 1500 claim contains 33 item numbers. Item numbers 1 to 13 refer to the patient and insurance information. Item numbers 14 to 33 refer to information about the provider, diagnosis, procedures, and charges. For simplification purposes, the video will address item numbers separately: 1, 2, 7, 8 to 11, 12 and 13, 14 to 20, 21 to 23, 24 and 25 to 33. Item number 1 is used to indicate the type of insurance the patient has. Five specific government programs are listed, as well as group health plan and other. "Other" can be used to indicate individual health plans, HMOs, commercial insurance plans, automobile accident plans, workers' compensation plans, etc. Item number 1A is for the Insurance ID number, which can be found on the insurance card. Item number 2 is for the patient's name and must be exactly as it appears on the insurance card. Item number 3 is for the patient's birth date in a month, day, year format. Item number...
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Cms 1490s Form: What You Should Know
If Medicare pays your expenses you are eligible for a payment. It's important to fill this form up thoroughly. You can either ask the doctor what fees he, she, or he will charge you, or you can go to a doctor and take his, her, or it's payment to the office to get it processed. This form is not the only way Medicare will pay for your health care expenses, so you will get a different CMS-1490 form, one that is filled out to the minute, but you will get your medical bill with that form. Remember, you do not have to be listed on the Medicare bill! This form may ask for basic health information — name, age, address, Social Security number, 2 your address in the county where you live or were domiciled at the time. If you do not have a Social Security number, you can use your birthdate to fill out the form.
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