Wednesday, October 13, 2010

Medicaid CMS 1500 important field - critical claim information

CMS-1500 Claims Form Paper Billing

CMS-1500 forms may be purchased through HP. Providers may also obtain copies
of the claim form from a printer of their choice. For scanning purposes, these forms
must be printed in the standard CMS format using red dropout ink.
Claims must contain the billing provider’s complete name, address, and NPI.

Critical claim information includes:
• Recipient’s first and last name
• Recipient’s 13-digit Medicaid number
• First two characters of the provider group name
• Payee’s 10-digit NPI
• Rendering (performing) provider’s 10-digit NPI (on each line item)

A claim lacking any of the critical claim information cannot be processed. Also, each
claim form must have a provider signature, initials, a stamped signature, or have an
agreement on file with HP to omit signature requirement.

1 comment:

  1. Dear sir/Madam, Iam Rafi from xplore Pioneer IT Solution in inda.we are BPO Service provider and we work on the Form Process Filling for Insurance and other industry to pls let me know do you have any project with you. get back to me ASAP.

    Thank you

    My mail id is

    Looking forward to hear from you


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