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
Indicating the prior authorization number.
Manual CMS 1500 (08/05) Crosswalk -
Updated on: Dec 07, 2022
Medicaid Resubmission Code
Indicating the Medicaid resubmission code.
Manual CMS 1500 (08/05) Crosswalk -
Updated on: Dec 07, 2022
Diagnosis Codes
Diagnosis codes populate the CMS 1500 form in order of the diagnosis codes listed, and display by charge.
Manual CMS 1500 (08/05) Crosswalk -
Updated on: Dec 07, 2022
Outside Lab
Indicating outside lab and any associated charges
Manual CMS 1500 (08/05) Crosswalk -
Updated on: Dec 07, 2022
Reserved for Local Use
Enter free text for miscellaneous information needed in box 19 on the CMS 1500 form.
Manual CMS 1500 (08/05) Crosswalk -
Updated on: Dec 07, 2022
Hospitalization Dates
Indicating hospitalization dates.
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)
This lesson describes the workflow for adding a legacy ID for a Referring Provider in Block 17a onto the CMS 1500 claim.
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.
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.
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)
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.
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.
Manual CMS 1500 (08/05) Crosswalk -
Updated on: Dec 07, 2022
1. Referring Provider NPI: Indicating the Referring Provider on the claim
Pulling the Referring Provider legacy qualifier and ID.
Manual CMS 1500 (08/05) Crosswalk