Hello, this is Joe Moore. I thought I would give you some instructions on how to properly complete a CMS claim form. The first thing you want to remember is that everything has to be in caps, and you cannot use any abbreviations when you complete a claim form. So, we'll start with block 1. In block 1, you'll notice that you need to place an X in one of these blocks to indicate the type of insurance that you have. If you have Medicare, Medicaid, TRICARE, Chapa, a group plan, Fika, or other, you would mark an X in the appropriate slot. In 1a, you're going to demarcate the patient's ID number for their insurance. This number has to have no dashes and no spaces. So, even if the card presents that way, you are to type it in with no spaces and no dashes. If they have a group health number, we put the group health number over here, farther on the line. So, you'd space down and place it over here on the far right of the line. Then, you're going to come over to block 2 and complete the patient's name. You'll type in the patient's last name, comma space, first name, comma space, and then the middle initial. If they have a junior attached to their name, you would type in Smith, space, Junior, comma space, John, comma space, A. For instance, if they're a doctor or have a title with their name, we do not include that on the claim form. Underneath that, in the next block, you're going to enter the patient's mailing address. Again, do not use abbreviations. So, if it's Avenue, Road, Street, or any of that, you're going to type that out completely. Put in their City and their two two-digit...
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Free blank Cms 1500 claim Form: What You Should Know
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