Form preview

Get the free Place of Service - JE Part B - Noridian

Get Form
This clinic is owned and operated by Wellness Place LECTERNS OF ACCEPTANCE AS USED IN THESE DOCUMENTS, THE TERMS WE, OUR AND/OR US REFERS TO THE LEGAL OWNER AND OPERATOR OF THIS THE JOINT CLINIC LOCATION. EXPLANATION
We are not affiliated with any brand or entity on this form

Get, Create, Make and Sign place of service

Edit
Edit your place of service form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Add
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Share
Share your form instantly
Email, fax, or share your place of service form via URL. You can also download, print, or export forms to your preferred cloud storage service.

Editing place of service online

9.5
Ease of Setup
pdfFiller User Ratings on G2
9.0
Ease of Use
pdfFiller User Ratings on G2
Follow the guidelines below to use a professional PDF editor:
1
Set up an account. If you are a new user, click Start Free Trial and establish a profile.
2
Prepare a file. Use the Add New button to start a new project. Then, using your device, upload your file to the system by importing it from internal mail, the cloud, or adding its URL.
3
Edit place of service. Add and change text, add new objects, move pages, add watermarks and page numbers, and more. Then click Done when you're done editing and go to the Documents tab to merge or split the file. If you want to lock or unlock the file, click the lock or unlock button.
4
Save your file. Select it in the list of your records. Then, move the cursor to the right toolbar and choose one of the available exporting methods: save it in multiple formats, download it as a PDF, send it by email, or store it in the cloud.
It's easier to work with documents with pdfFiller than you could have ever thought. Sign up for a free account to view.

Uncompromising security for your PDF editing and eSignature needs

Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
GDPR
AICPA SOC 2
PCI
HIPAA
CCPA
FDA

How to fill out place of service

Illustration

How to fill out place of service

01
To fill out the place of service, follow these steps:
02
Look for the designated field for the place of service on the form or application.
03
Enter the appropriate code or description for the place where the service was provided.
04
Make sure to accurately indicate if the service was performed in a hospital, clinic, office, or other specific location.
05
Double-check your entry for any errors or typos before submitting the form.
06
If you are unsure about the correct place of service code or description, refer to the official guidelines or consult with a healthcare professional or billing specialist.

Who needs place of service?

01
The place of service is needed for various purposes in the healthcare industry, including:
02
- Healthcare providers who need to accurately document where services were rendered.
03
- Medical coders and billers who process claims and ensure accurate reimbursement.
04
- Insurance companies and payers who use the information for claims processing.
05
- Healthcare regulators and authorities who monitor and audit healthcare services.
06
- Researchers and analysts who study healthcare utilization patterns and trends.
07
- Patients who may want to understand where their healthcare services were provided.
Fill form : Try Risk Free
Users Most Likely To Recommend - Summer 2025
Grid Leader in Small-Business - Summer 2025
High Performer - Summer 2025
Regional Leader - Summer 2025
Easiest To Do Business With - Summer 2025
Best Meets Requirements- Summer 2025
Rate the form
4.6
Satisfied
46 Votes

For pdfFiller’s FAQs

Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.

Simplify your document workflows and create fillable forms right in Google Drive by integrating pdfFiller with Google Docs. The integration will allow you to create, modify, and eSign documents, including place of service, without leaving Google Drive. Add pdfFiller’s functionalities to Google Drive and manage your paperwork more efficiently on any internet-connected device.
Easy online place of service completion using pdfFiller. Also, it allows you to legally eSign your form and change original PDF material. Create a free account and manage documents online.
Add pdfFiller Google Chrome Extension to your web browser to start editing place of service and other documents directly from a Google search page. The service allows you to make changes in your documents when viewing them in Chrome. Create fillable documents and edit existing PDFs from any internet-connected device with pdfFiller.
Place of service is the physical location where a medical service was provided.
Healthcare providers and facilities are required to file place of service.
Place of service can be filled out on medical claims forms or electronic health records systems.
The purpose of place of service is to indicate where the medical service was provided for billing and reimbursement purposes.
The exact location where the medical service took place must be reported on place of service.
Fill out your place of service online with pdfFiller!

pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Get started now
Form preview
If you believe that this page should be taken down, please follow our DMCA take down process here .
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.