Video instructions and help with filling out and completing hcfa 1500 form 2018
Hi everyone and thanks for joining me for this video demonstration to show how to fill out a CMS 1500 claim form while most claim forms are submitted electronically through our practice management programs there are times when billing specialist need to know how to fill out a CMS 1500 claim form so we're going to walk through Sony now it's the paper claim form here notice that the previous chapter of our book went through line by line what each one of these boxes means and what would be included in each box so if you have any further questions make sure that you reference back through that chapter and take a look for for this Cranborne I'm going to be filling out the information as found in our case studies for the chapter and specifically I'm filling out the claim form for David Bellini and so his information is found in the textbook in the back of the book of their chapter and I'm using the patient information that would come from a patient information form if we have one and also I'm using the encounter forms that is provided along with that so that's where this information comes from if you need to fill out a form so the first line we have to design what kind of insurance is this and of course he has Anthem Blue Cross Blue Shield PPO so it is a group health plan so that's the box we're going to check here I should mention that I have downloaded the PDF fillable form from the McGraw Hill site that is available I have given you the link in blackboard and after I got my form here alright so the first box here is the insured ID number and so for him we're just going to fill it in here and note that any letter in the claim form should be in capital letters we're just going to hit our caps lock but that's always on if we use tab it okay to move this around the patient name here we're only going to fill in boxes number two and five if the patient is different than the insured so an example of this would be if if the patient was a minor and perhaps the mother or the father held the insurance number - back then would be that minors name but some David is not a minor he holds his own insurance we're going to just read this blank here okay so the patient's a date of birth could be for the patient if it was that minor so people would go here a fax number for then it is his name and we use all capital comma in between the first and last no initials or no no punctuation at all here inside would be the patient address if it was a minor or a different patient that was not if not hold the insurance so the patient