Example: air traffic controller

Tips for Completing the CMS-1500 Claim Form

FAILURE TO PROVIDE VALID INFORMATION MATCHING THE INSURED’S ID CARD COULD RESULT IN A REJECTION OF YOUR CLAIM. Tips for Completing the CMS-1500 Version 02/12 Claim Form Page 5 of 12 Field Number Field Description Data Type Instructions 21.1-4 Diagnosis or nature of illness or injury Required Enter the applicable ICD indicator to identify which

Tags:

  Data, Matching

Information

Domain:

Source:

Link to this page:

Please notify us if you found a problem with this document:

Other abuse

Advertisement

Transcription of Tips for Completing the CMS-1500 Claim Form

Related search queries