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CMS 1500
CMS 1500 forms are red and white claim forms used by medical professionals
to submit insurance claims for payments when they are submitted on
paper. Most health insurance claims are filed today
electronically, but there is still a need to actually fill out the
CMS paper claim form and mail them to the insurance
carrier. There are a few smaller insurance carriers not yet ready to
receive claims electronically so they still use the 1500 or HCFA
forms. And not all clearing houses which process the electronic
claims handle all insurance carriers leaving the need to submit some
paper claim forms.
When a
patient has two health insurance policies and one is primary and one is
secondary it is sometimes necessary to file the secondary claim on
paper as well. Ditto for tertiary
claims.
CMS
forms are widely available for purchase and usually offered in boxes of
2500 forms. They are still available in duplicate and track
feed but are more common in single sheets. The forms also
called HCFA forms must be completed accurately and completely for
payment by the insurance carriers. How to
Complete a CMS1500 ebook takes you step by step thru the form
explaining how to complete each
box.
The CMS forms were revised in August 2006. The revised
form accommodates the reporting of the NPI number or the National Provider
Identifier. The new form was officially accepted starting
January 1, 2007 and it's use mandated by April 2,
2007.
The major difference
between old and the revised CMS 1500 form is the split provider
identifier field which allows for the reporting of both NPI number and the
corresponding Legacy number on them. The "type of service" box
was eliminated and deemed no longer required
information.
Some
areas of the CMS1500 are shaded so that they start to look more like the
UB92 forms which also changed. Here's more information on the
new UB04 claim forms.
Now available - Our NEW
"How To Complete a
CMS (HCFA 1500) Completely and Correctly - Line By Line, Box By
Box" ebook is now
available. This 40 page ebook explains in terms a medical
biller will understand exactly what information is required and
where to put it on the new CMS 1500 forms with specific
details. Here's more information and an excerpt from "How To Complete a CMS (HCFA
1500) Completely and Correctly - Line By Line, Box By
Box". Avoid unnecessary
denials on your medical insurance claims by completing the form
correctly the first time. You will need Adobe Acrobat Reader to
read the report. You can download the newest version here
at Acrobat Reader.
