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Please also check the insurance billing manual updates and the blog for more information.

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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

Home ] Insurance Billing CE ] Cost Per Client ] Become a Provider ] Table of Contents ] Intro ] Contracts ] Personal Injury ] Track communications ] Types of Insurance ] Networking ] How to become a Provider ] What should SOAP charts say? ] Physicians Referral for Massage ] Issues and Ethics of Billing ] Reports ] State Info ] Insurance Benefits Verification ] Basic Billing Procedures ] Personal Injury Claims ] Insurance Billing Manual ] To bill or not to bill ] Insurance Billing manual updates ] [ Fill out HCFA ] Functional Outcomes ] Resources ] Progress Report From ] Injured Workers ] Setting Your Fees ] Glossary A-E ] GlossaryF-O ] Glossary P-Z ] Issues and Ethics ] The ICD-9's ] CPT & ICD-9 Codes ] CPT Codes ] Getting Paid ] HMO's, PPO's ] Documentation ] HCFA Intro ] In Summary ]

 

 

 

 

 

 

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