Which statement is true regarding item 5 on the cms-1500 claim form?
What information is required on a CMS-1500 form?
For durable medical, orthotic, and prosthetic claims, the name and address of the location where the order was accepted must be entered (DMERC only). This field is required. When more than one supplier is used, a separate CMS-1500 Form shall be used to bill for each supplier.
What is item 17B on the CMS-1500 claim form?
Item 17b—Enter the National Provider Identifier (NPI) of the referring/ordering/supervising physician or non-physician practitioner listed in item 17. NPIs are required for all providers and facilities. Application for NPIs can be submitted online through the CMS website. Which block on the CMS-1500 claim form contain information regarding Medigap?
Is a 1500 claim form considered a legal document?
A completed and submitted 1500 claim form constitutes a legal document. If a provider is not incorporated, he will most likely use his/her Social Security number when filing claims. Since he/she doesn't have an "EIN" number, the provider's Social Security number is reported in Item #______.
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- which statement is true regarding item 5 on the cms-1500 claim form