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Get the free CMS 1500 Form Locator Requirements.pdf - HealthPlus of Michigan - healthplus

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Claims Submission Claims CMS 1500 Claims Submission Healthful provides claims processing through electronic transmission or paper submittals. The CPT and HOPES codes, including modifiers, should be
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How to fill out cms 1500 form locator

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How to fill out CMS 1500 form locator:

01
Start by entering the patient's personal information in the appropriate locators. This includes their full name, date of birth, and address.
02
Next, input the patient's insurance information, such as their insurance company name and policy number, in the designated locators.
03
Indicate the type of insurance the patient has in locator 9, whether it is Medicare, Medicaid, or another type of insurance.
04
If the patient has more than one insurance coverage, indicate the primary insurance in locator 11 and add additional insurance information in the following locators.
05
Move on to reporting the patient's diagnosis codes in locators 21 through 24. Use the appropriate ICD-10 codes to accurately report the patient's conditions.
06
In locator 17, provide the referring physician or healthcare provider's name and identification number if applicable.
07
If there were any prior authorized services for the patient, report the corresponding control number in locator 23.
08
Report the dates of services provided in locators 24A through 24J. Include the start and end dates of each service rendered.
09
If there were any additional services that need to be reported, use locators 24K through 24R to provide the necessary information.
10
Finally, make sure to sign and date the form in locator 31, indicating that the information provided is true and accurate to the best of your knowledge.

Who needs CMS 1500 form locator?

01
Healthcare providers who offer services to patients that are covered by Medicare, Medicaid, or other types of health insurance use the CMS 1500 form locator.
02
Insurance companies also require the use of the CMS 1500 form locator to process and reimburse healthcare providers for the services rendered to their insured patients.
03
Billing specialists and administrative staff within healthcare organizations need to be familiar with the CMS 1500 form locator to accurately complete and submit claims on behalf of the providers.
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The CMS 1500 form locator is a specific field on the CMS 1500 claim form where certain information must be entered.
Healthcare providers and suppliers who bill Medicare or Medicaid are required to file the CMS 1500 form with the necessary information in the designated locators.
To fill out the CMS 1500 form locator, you need to enter the requested information accurately and completely in the corresponding fields. Follow the instructions provided by Medicare or Medicaid for proper completion.
The purpose of the CMS 1500 form locator is to ensure that all necessary information for processing healthcare claims is correctly provided to Medicare or Medicaid.
The CMS 1500 form locator must contain information such as patient demographics, provider details, diagnosis and treatment codes, and billing information.
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