Adding text to Block 19 on CMS 1500 claim*

Billing -> Patient Account -> New Charges Tab ->More Info

or

Billing->Patient Account->Claims tab->Select claim from list->More Info

The More Info dialog consists of several tabs for additional visit information needed by payers to process claims. Many specialties require specific dates, certification numbers, etc. Additional information can be added by clicking on the appropriate tabs. The information entered here will be at the claim level and will apply to all charges within the claim.

For charge level only information, you can add information in the Charge Details by double clicking on a specific charge in New Charges tab or when editing charges in the patient Claims tab.

More Info Misc Details-Reserved for Local Use (CMS 1500 Block 19)

Please refer to the most current instructions from the applicable public or private payer

regarding the use of this field. Some payers ask for certain identifiers in this field. If identifiers are reported

in this field, enter the appropriate qualifiers describing the identifier. Do not enter a space, hyphen, or other

separator between the qualifier code and the number.

More Info Misc Details-Medicaid Resubmission Number (CMS 1500 Block 22)

Enter Medicaid Resubmission number to appear in block 22 on CMS 1500 claim form.