Transcription of CMS-1500 (version 02-12) Claim Form Instructions
{{id}} {{{paragraph}}}
Example: dental hygienist
CMS-1500 (version 02-12) Claim Form Instructions
CMS-1500 (version 02-12) Claim form Instructions July 27, 2017 Updated 07/27/2017 CMS-1500 (02-12) Claim form Instructions pv05/18/2015 Date (mm/dd/yyyy) Description of changes Impact 02/10/2014 Initial version 05/28/2014 Changes include additional examples for Field 24E Diagnosis pointer Pages 2, 4, 7, 9 11/18/2014 Updated Instructions for fields 17, 17b, 24E, 24I, 24J and 33b; updated the Shaded Field Requirements chart; added references to ICD-10 implementation date; added Instructions for Ambulance providers in Field 24G Pages 4, 6, 7, 9, 10, 11 05/18/2015 Updated Field 30 requirement and Instructions Pages 4, 10 07/27/2017 Added provider type 85 to Field 17b as a provider required to include a valid National Provider Identifier (NPI) of an Ordering, Prescribing or Referring (OPR) provider on their Claim Page 7 Updated 07/27/2017 CMS-1500 (02-12) Claim form Instructions pv05/18/2015 Table of contents Questions?
Updated 07/27/2017 CMS-1500 (02-12) Claim Form Instructions pv05/18/2015 1 These instructions address Nevada Medicaid paper claim requirements. If you submit electronic claims through a clearinghouse, please contact the clearinghouse directly
Loading..
Tags:
Information
Domain:
Source:
Link to this page:
Please notify us if you found a problem with this document: