Free Health Insurance Claim Form
Free Health Insurance Claim Form
Get a free health insurance claim form
Health insurance claims are standard forms used by billers. These forms are submitted to insurance companies by individual doctors, practices or facilities looking for payment for medical services provided to a patient. When these forms are received, they are processed by the health insurer's claims department. Every billed charge is reviewed to find out if it's payable.
Health insurance claims are of two types. Professional charges are billed on a HCFA 1500 claim form and professional claims cover charges for services rendered by a physician. Services carried out during an office visit like blood work and x-rays may be billed as separate charges from the visit.
Facility claims are UB92 forms and these are used for charges incurred by a hospital or other medical facility where the services were carried out.
Health insurance claims cover a patient's name, address, social security number, date of birth and insurance information, say for instance the name of the health insurer and the patient's identification number. They also cover the dates on which the services were rendered as well as the name of the physician or facility that provided the services. The exact procedures that were carried out are represented by CPT codes; each CPT code corresponds to one or more ICD-9 codes. Also, the billed amount for each procedure as well as the provider's tax identification number also figure there.
But remember that these health insurance claims have a filing time frame. If they are not submitted on time, claims can be denied. That apart, charges that are not submitted on a proper claim form may be denied consideration for payment until they're resubmitted on the proper form.
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