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Single CMS-1500 Claims

Single CMS-1500 Claims

 

See Also:

Batch CMS-1500 Claims

Services tab

Alignment tab

Print Image File tab

Plain Paper Claims

 

When you select CMS-1500 from the patient's list print menu, you get the following options screen.

 

 

Insurance

If the patient has multiple insurance coverage, use the drop-list to select the insurance you want to bill.

 

Medicaid Resubmission Code [Box 22]

Original Reference Number [Box 22]

Medicaid resubmission means the code and original reference number assigned by the payer or receiver to indicate a previously submitted claim or encounter. The corresponding field data from the patient insurance screen on the Subscriber tab is used to populate this form. You can change or clear these values here and what shows on this is what prints on the form.

 

Refer to the payer's most current instructions regarding the use of this field.

 

Print all characters in upper case

Many, perhaps most, payers want you to fill in the form with upper case letters only. Check this box and Aeris will make it happen even if the original data is in lower or mixed case.

 

Mark services as billed

When this box is checked, Aeris will add the claims generated to a list. This list lets you review when claims were sent and prevents claims from being accidentally rebilled in batch claims. Marking services doesn't prevent rebilling manually with single patient claims.

 

Keep Active

A progress window will be displayed while the claims are being printed. To keep this window always on top of other windows, check this box.

 

[Specification Document] button

This button opens the CMS-1500 Reference Manual, an Adobe Acrobat document.

 

 

See Also:

Batch CMS-1500 Claims

Services tab

Alignment tab

Print Image File tab

Plain Paper Claims