Line by line instructions for
filling out the HCFA 1500 form:
Note there
currently is a new form that is the standard - The CMS 1500
which is very similar but includes sections for NPI numbers.
Line 1. Other (usually)
Line 1a. This is the ID number of
the insured person, which is sometimes different from the client. It is usually
the social security number, but that is now changing due to HIPAA requirements.
It also could be a claim number in a MVA.
Line 2. Patient’s name
Line 3. Patient’s birth date:
Male or Female
Line 4. Insured’s name, Employer
or whoever has the insurance policy , which may be different than the
client:
possibly a spouse or parent.
Line 5. Patient’s address.
Line 6. Patient’s relationship to
insured.
Line 7. Insured’s address : if
same as patient put same.
Line 8. Patient’s status
Line 9 –9d Other insurance- if
they have a secondary insurance that may kick in later. This could be a regular
health insurance policy that may be billed for a MVA after funds are depleted or
some other secondary insurance.
Get the rest
of the instructions on how to fill out the CMS 1500 for for billing insurance
for massage therapy services in the Book/Ebook
Insurance Billing 101 for Massage Therapists