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  3. CMS-1500 Claim Form Instructions

CMS-1500 Claim Form Instructions

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Box by box description and Therabill mapping of the CMS-1500 Claim Form.

  • Box 18 - Hospitalization Dates Related to Current Services
  • Box 19 - Additional Claim Information (Designated by NUCC)
  • Box 20 - Outside Lab? / $ Charges
  • Box 21 - Diagnosis or Nature of Illness or Injury
  • Box 22 Resubmission Code/Original Ref. No.
  • Box 23 - Prior Authorization Number
  • Section 24 - Service Lines
  • Box 24a - Date(s) of Service
  • Box 24b - Place of Service
  • Box 24c - EMG
  • Box 24d - Procedures, Services, or Supplies
  • Box 24e - Diagnosis Pointer
  • Box 24f - $ Charges
  • Box 24g - Days or Units
  • Box 24h - EPSDT/Family Plan
  • Box 24i - ID Qualifier
  • Box 24j - Rendering Provider
  • Box 25 - Federal Tax ID Number
  • Box 26 - Patient’s Account No.
  • Box 27 - Accept Assignment?
  • Box 28 - Total Charge
  • Box 29 - Amount Paid
  • Box 30 - Reserved for NUCC Use
  • Box 31 - Signature of Physician or Supplier Including Degrees or Credentials
  • Box 32 - Service Facility Location Information
  • Box 32a - NPI#
  • Box 32b - Other ID#
  • Box 33 - Billing Provider Info & Ph#
  • Box 33a - NPI#
  • Box 33b - Other ID#
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