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 Emblemhealth Fillable 1500 Form 2005

2005-2025 Form

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welcome to this tutorial on claim submission items 17-33 the information given as training is correct as of August 2023 the most current information contained in this presentation can be found on the nordian Medicare website and the CMS website at the links listed on this slide once again we will have the section of the CMS 1500 claim form first and item 17 you are going to enter the referring or ordering position you will enter only the Physicians first and last name do not include middle name initials or credentials such as MD if you cannot fit the entire name in the field use the first initial and full last name these rules also apply to the non-physician provider if Medicare policy requires you to enter a supervising provider's information that will go in item 17. when there is a referring ordering and supervising position you will need separate claim forms to the left of the vertical dotted link you are going to enter the qualifier to describe the provider's role i

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