Articles in this section

• CMS-1500 Claim Form
• Box 1 - Plan Type
• Box 1a - Insured's I.D. Number
• Box 2 - Patient's Name
• Box 3 - Patient's Birth Date, Sex
• Box 4 - Insured's Name
• Box 5 - Patient's Address (multiple fields)
• Box 6 - Patient Relationship to Insured
• Box 7 - Insured's Address (multiple fields)
• Box 8 - Reserved for NUCC Use