They contain all the information necessary for the insurance company to process the claim. These boxes are divided into two main sections: ![]() Underneath the address is a complicated set of numbered and lettered boxes. This is the address to which you are supposed to send all claims for that particular insurance company. The insurance company reviews the form, determines the patient's benefits, and pay the negotiated rates per their agreement with each individual provider.Īt the very top of the claim form, on the right hand side, is a section for the patient's insurance claims address. ![]() It's much easier to think of the form as containing sections of data, each of which combine together to tell the insurance company: Learn more about it here.īecause it would be too difficult and time consuming to discuss each single element of the CMS 1500 claim form, we won't do that here. It's a detailed guide to getting everything just right, written by a very experienced mother/daughter team of medical billers. ![]() If you're interested in mastering the CMS 1500 claim form, we recommend the ebook How to Complete a CMS 1500 Form.
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