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CMS-1500 claim form may not be used for private-pay patients

While it is true that the CMS-1500 claim form may not be used for private-pay patients, this form will be required for all claims when the patient is covered by any form of insurance to recover payment for services. A working knowledge of the CMS-1500 is essential for all persons working in the revenue and billing area of healthcare.

Tasks:

  • Using the CMS-1500 form, fill out the form for a non-Hodgkin’s lymphoma (page 183 of text) and a radiological Oncology treatment (page 278 of text).
  • Use patient information found on EOB Figure 4-17 of text (page 90).
  • Describe the process of submitting this claim form through a third-party administrator.

Submission Details:

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