Enter the patient's last name, first name, and middle initial, if any, as it appears on the patient's Medicare card (e.g., Jones John J). Include only one space between the last name, first name, and middle initial. If the name is not an identical match, the claim will be rejected as unprocessable.
When entering the patient's name on the CMS 1500 claim form what punctuation should be used?
Patient names are entered onto the claim form with last name, first name, middle initial separated by commas. When entering professional names which of the following guidelines should be followed on Item 2 on the CMS-1500 claim form?
What should be entered in field 24E of the CMS 1500 claim?
What is it? Box 9 indicates that there is another policy that may cover the patient. The insured's name is entered as Last Name, First Name, Middle Initial, separated by commas. If Box 11d is marked, complete boxes 9, 9a, and 9d; otherwise, leave blank.
What goes in Box 9 of the CMS 1500 form?
When completing the CMS-1500 Form, which section contains information about the patient and the insured? Both A and B; Social Security Number (SSN). Employer Identification Number (EIN).