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UnitedHealthcare
Community & State
Hoosier Care Connect Health Plan
Tips for billing and correcting CMS1500 and UB04 Claims
Presented by Jen Smith, Manager of Provider Advocacy & Account Management
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How to fill out important information for patients

How to fill out important information for patients
01
Ask the patient for their full name, date of birth, and contact information.
02
Record any known medical conditions or allergies the patient may have.
03
Obtain a list of current medications the patient is taking.
04
Ask the patient if they have any advance directives or legal documents related to their healthcare decisions.
05
Document any emergency contacts the patient has provided.
Who needs important information for patients?
01
Healthcare providers such as doctors, nurses, and emergency medical personnel.
02
Hospitals, clinics, and other healthcare facilities.
03
Family members or caregivers who may need to make decisions on behalf of the patient.
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What is important information for patients?
Important information for patients includes medical history, allergies, current medications, and emergency contacts.
Who is required to file important information for patients?
Healthcare providers and institutions are required to file important information for patients.
How to fill out important information for patients?
Important information for patients can be filled out electronically or on paper forms provided by the healthcare provider.
What is the purpose of important information for patients?
The purpose of important information for patients is to ensure that healthcare providers have access to the necessary information when providing medical treatment.
What information must be reported on important information for patients?
Medical history, allergies, current medications, and emergency contacts must be reported on important information for patients.
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