Recent Updates
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Scenario C: Referring Provider Legacy ID (when an External Provider is listed as the Referring Provider)
<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>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.</p> <p>If an... -
Scenario B: Referring Provider Legacy ID (when an Internal Provider is listed as the Referring Provider)
<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>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 Interna... -
Scenario A: Referring Provider Legacy ID (Defaulting Taxonomy code for an Internal Provider 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 ... -
1. Referring Provider Legacy ID: Indicating the Referring Provider on the claim
Pulling the Referring Provider legacy qualifier and ID.
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Referring Provider Name
Updated on: Dec 07, 2022
Indicating the Referring Provider for a visit.
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Dates Patient Unable to Work
Updated on: Dec 07, 2022
Indicating unable to work dates.
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Same or Similar Illness
Updated on: Dec 07, 2022
If the patient has had the same or similar illness, give the first date of illness.
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Date of Current: (Illness, Injury or Pregnancy)
Indicating the date of one of the following: Illness (First symptom), Injury (Accident) or Pregnancy (LMP)
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Insured Signature
Updated on: Dec 07, 2022
Insured's or Authorized Person's Signature
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Patient Signature
Updated on: Dec 07, 2022
Patient or Authorized Signature