Recent Updates
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Updated on: Dec 07, 2022
Dates of Service
Manual CMS 1500 (08/05) Crosswalk -
Updated on: Dec 07, 2022
Prior Authorization Number
<p>Indicating the prior authorization number.</p>Manual CMS 1500 (08/05) Crosswalk -
Updated on: Dec 07, 2022
Medicaid Resubmission Code
<p>Indicating the Medicaid resubmission code.</p>Manual CMS 1500 (08/05) Crosswalk -
Updated on: Dec 07, 2022
Diagnosis Codes
<p>Diagnosis codes populate the CMS 1500 form in order of the diagnosis codes listed, and display by charge.</p>Manual CMS 1500 (08/05) Crosswalk -
Updated on: Dec 07, 2022
Outside Lab
<p>Indicating outside lab and any associated charges</p>Manual CMS 1500 (08/05) Crosswalk -
Updated on: Dec 07, 2022
Reserved for Local Use
<p>Enter free text for miscellaneous information needed in box 19 on the CMS 1500 form. </p>Manual CMS 1500 (08/05) Crosswalk -
Updated on: Dec 07, 2022
Hospitalization Dates
<p>Indicating hospitalization dates.</p>Manual CMS 1500 (08/05) Crosswalk -
Updated on: Dec 07, 2022
Scenario B: Referring Provider NPI (when an External Provider is listed as the Referring Provider) (Copy)
<p>This lesson describes the workflow for adding a legacy ID for a Referring Provider in Block 17a onto the CMS 1500 claim.</p> <p><strong>External providers will need to be set up as a Contact in the Contacts dialog. To access the Contacts dialog, go to the Tools menu and select Contacts.</strong></p> <p>If an Internal Provider must be listed as the Referring Provider on a claim AND must have a legacy ID indicated (that is other than their Taxonomy code), the Internal Provider will need to be set up as a Contact, as well. Follow the instructions below to indicate the Legacy ID for a Contact.</p>Manual CMS 1500 (08/05) Crosswalk -
Updated on: Dec 07, 2022
Scenario A: Referring Provider NPI (when an Internal Provider is listed as the Referring Provider)
<p>This lesson describes the workflow for having the taxonomy code for an internal provider, who is listed as the Referring Provider, populate Block 17a on the CMS 1500 claim. </p> <p>If an Internal Provider must be listed as the Referring Provider on a claim AND must have a legacy ID indicated (that is other than their Taxonomy code), the Internal Provider will need to be set up as a Contact, as well. See Lesson 2b for instructions to set up that scenario.</p>Manual CMS 1500 (08/05) Crosswalk -
Updated on: Dec 07, 2022
1. Referring Provider NPI: Indicating the Referring Provider on the claim
<p>Pulling the Referring Provider legacy qualifier and ID. </p>Manual CMS 1500 (08/05) Crosswalk