- Processing an Insurance Claim
Table of Contents
Introduction:
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). For assistance with completing and saving a PDF document, please click here
- 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:
• Submit both the completed claim form and a 1- to 2-page reflection on the process as a Microsoft Word document. Use APA standards for citations and references.
• Cite a minimum of three outside peer-reviewed sources to support your assertions
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