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Know About Health Insurance Claim Form

Know About Health Insurance Claim Form
Know About Health Insurance Claim Form

Health Insurance claim form 1500 or the CMS-1500 form is a claim form which is used by a non-institutional proviHealth Insurance claim form 1500 or the CMS-1500 form is a claim form which is used by a non-institutional provider when billing durable medical equipment regional carriers and Medicare. It is also used to bill Medicaid state agencies. Below are few points to be considered to get the free health insurance claim form.

1) Acquiring the Form

The CMS-1500 claim form is maintained by the NUCC or National Uniform Claim Committee. You can purchase the form from the U.S. Government Printing Office, any office supply store or a local printing company in your area. This form is available in many configurations; depending on type of printer and your needs. But, remember to use the newest version of the CMS-1500 claim form.

Form Completion Tips

While completing the form remember to use Arial or Pica font at a size of 10, 11 or 12, and use black ink and capital letters. Make sure you don't have broken characters, and you can use italics or any type of stylized font or red ink. Don't send the form with liquid correction fluid; the data should not touch the edges of the boxes; and don't use narrative descriptions; use only standard codes. Only the original forms must be sent, which implies that you cannot send a photocopy of the form. Remove any gap from the form so that it conforms to the standard size of 8 " x 11".

2) Entering Information

Mention at the top of the form if it is being used for a Medicare, Medicaid or any other type of claim submission. Fill in the ID number, followed by name, date of birth, sex and complete address of the patient. Patient's condition related to employment, or some accident should also be mentioned. Each section of the form must be completed depending on where the form would be submitted (Medicare or a Medicaid state agency).

For more information on CMS-1500 form or for free health insurance claim form, you can sign up for one-stop medical coding websites.




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