Get the free CMS 1500: Form 0938-0999 - Blue Cross Blue Shield

Form number 0938-0999. Please refer to the ... The manual can be located on the National Uniform Claim Committee website at www.nucc.org. ... Below are the BCB SVT/THP requirements for the CMS 1500

How to fill out cms 1500 form 0938-0999

How to fill out CMS 1500 form 0938-0999:

1. Begin by filling out the patient's information in section 2 of the form. This includes the patient's full name, address, and date of birth. Ensure that all information is accurate and legible.
2. In section 3, provide the insurance information. This includes the name of the primary insurance carrier, the policy number, and any additional information required by the insurance company.
3. Section 4 requires the provider's information. Include the name, address, and contact information of the healthcare provider or facility rendering the services.
4. In section 5, provide the patient's condition and any related information. This includes the dates of onset and any prior treatments or referrals.
5. The next section, section 6, requires information about the patient's medical history related to the current condition being treated. Include any relevant diagnoses and ICD-10 codes.
6. In section 7, list the services and procedures provided to the patient. Include the date of service, the description of the service, and the charge for each service rendered.
7. Section 8 is for the provider's signature. Ensure that the form is signed and dated by the healthcare provider or authorized representative.
8. Finally, review the completed form for any errors or missing information. Make sure all required fields are filled out correctly before submitting the form to the insurance company.

Who needs CMS 1500 form 0938-0999:

1. Healthcare providers, including physicians, therapists, and hospitals, who render services to patients covered by private insurance companies or government health programs such as Medicare or Medicaid, need to use CMS 1500 form 0938-0999.
2. Billing agencies and medical coders who handle the billing and claim submission process on behalf of healthcare providers also need to be familiar with the CMS 1500 form and its requirements.
3. Insurance companies require the use of the CMS 1500 form to process claims and reimburse healthcare providers for the services provided to covered individuals. Therefore, insurance companies and their claims processing departments need to be well-versed in this form as well.

For pdfFiller’s FAQs

What is cms 1500 form 0938-0999?

The CMS 1500 form 0938-0999 is a standard claim form used by healthcare professionals to bill Medicare and Medicaid for services provided to patients.

Who is required to file cms 1500 form 0938-0999?

Healthcare providers, including physicians, clinics, and hospitals, are required to file the CMS 1500 form 0938-0999 when billing Medicare and Medicaid for services provided to patients.

How to fill out cms 1500 form 0938-0999?

The CMS 1500 form 0938-0999 should be filled out with the patient's information, details of the services provided, and the provider's information. It is important to ensure accuracy and completeness when filling out the form.

What is the purpose of cms 1500 form 0938-0999?

The purpose of the CMS 1500 form 0938-0999 is to submit claims for reimbursement for healthcare services provided to patients covered by Medicare and Medicaid.

What information must be reported on cms 1500 form 0938-0999?

The CMS 1500 form 0938-0999 requires information such as the patient's name, date of birth, insurance information, diagnosis codes, procedure codes, and provider information.

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