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HCFA 1500

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HCFA 1500
Managed care The official standard form used by physicians and other providers when submitting bills/claims for reimbursement to Medicare or Medicaid for health services; it is also used by private insurers and managed care plans; HCFA 1500 contains Pt demographics, diagnostic codes, CPT/HCPCS codes, diagnosis codes, units. See Compliance, HCFA, Medicare, Red tape. Cf UB92.


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Computer system with a modem and a printer * Fax machine * Medical billing software and/or business opportunity fee * Clearinghouse * Reference materials * CMS 1500 forms (previously known as an HCFA 1500 form)* * Phone * Voice mail or answering machine * Stationary and office supplies * Postage * A CMS 1500 form is simply a billing form maintained by the National Uniform Billing Committee.
I recently received a letter from an insurance company advising me that, to process my client's injury claim, the insurer would "require UB-92 forms for hospital care and HCFA 1500 forms for any other medical care.
They also can be used to capture HCFA 1500 and UB-92 health claims and unstructured documents such as invoices, freight bills and Explanations of Benefits.
 
 
 
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