CMS 1500 claim form Box 10, "Is Patient’s Condition Related to," Description/Details/Explanation

Описание к видео CMS 1500 claim form Box 10, "Is Patient’s Condition Related to," Description/Details/Explanation

https://www.cms.gov/Medicare/CMS-Form...
Forms/Downloads/CMS1500.pdf

US Healthcare and Insurance (Customer Services and Medical Billing-AR Follow-up)
Terms used in Revenue Cycle Management (RCM)
Topics on other learnings
Mock Call Scripts
Mock Call Customer Service
Mock Call Practice
BPO, KPO, MNC. Jobs


Box 1,
Box 1a, "Insured's ID Number,"
Box 2, "Patient's Name,"
Box 3, "Patient's Birth Date and Sex,"
Box 4, "Insured's Name,"
Box 5, "Patient's Address,"
Box 6, "Patient Relationship to Insured,"
Box 7, "Insured's Address,"
Box 8, "Reserved for NUCC Use,"
Box 9, "Other Insured's Name,"
Box 9a, "Other Insured's Policy or Group Number,"
Box 9b, "Reserved for NUCC Use,"
Box 9c, "Reserved for NUCC Use,"
Box 9d, "Other Insurance Plan Name,"
Box 10
10a: Employment
10b: Auto Accident
10c: Other Accident
Box 10d, "Claim Codes (Designated by NUCC),"
Box 11, "Insured’s Policy, Group, or FECA Number,"
Box 11a, "Insured’s Date of Birth and Sex,"
Box 11b, "Other Claim ID (Designated by NUCC),"
Box 11c, "Insurance Plan Name or Program Name,"
Box 11d, "Is There Another Health Benefit Plan?,"
Box 12, "Patient's or Authorized Person's Signature,"
Box 13, "Insured's or Authorized Person's Signature,"
Box 14, "Date of Current Illness, Injury, or Pregnancy (LMP),"
Box 15, "Other Date,"
Box 16, "Dates Patient Unable to Work in Current Occupation,"
Box 17, "Name of Referring Provider or Other Source,"
Box 17a, "Other ID Number,"
Box 17b, "NPI Number,"
Box 18, "Hospitalization Dates Related to Current Services,"
Box 19, "Additional Claim Information (Designated by NUCC),"
Box 20, "Outside Lab?,"
Box 21, "Diagnosis or Nature of Illness or Injury,"
Box 22, "Resubmission Code,"
Box 23, "Prior Authorization Number,"
Box 24a, "Dates of Service,"
Box 24b, "Place of Service,"
Box 24c, "EMG (Emergency Indicator),"
Box 24d, "Procedure Code,"
Box 24e, "Diagnosis Pointer,"
Box 24f, "Charges,"
Box 24g, "Days or Units,"
Box 24h, "EPSDT/Family Plan,"
Box 24i, "ID Qualifier,"
Box 24j, "Rendering Provider ID Number,"
Box 25, "Federal Tax ID Number,"
Box 26, "Patient's Account Number,"
Box 27, "Accept Assignment?,"
Box 28, "Total Charge,"
Box 29, "Amount Paid,"
Box 30, "Reserved for NUCC Use,"
Box 31, "Signature of Physician or Supplier,"
Box 32, "Service Facility Location Information,"
Box 32a, "NPI Number of Service Facility,"
Box 32b, "Other ID Number,"
Box 33, "Billing Provider Info & Phone Number,"
Box 33a, "NPI of Billing Provider,"
Box 33b, "Other ID Number of Billing Provider,"

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