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APPLICABLE TO THIS CLAIM. 1. INSURANCE COMPANY 2. PATIENT'S NAME 3. DATE OF BIRTH 4. ADDRESS OF INSURANCE COMPANY 5. PATIENT'S ADDRESS 7. AUTOMOBILE POLICY NUMBER 8. NAME OF POLICYHOLDER 9. ACCIDENT DATE 10. ADMISSION DATE 12. DISCHARGE DATE 6. PHONE NUMBER 11. ADDRESS OF POLICYHOLDER 13. PLACE OF ACCIDENT 14. DESCRIPTION OF ACCIDENT 15a. IDENTITY OF VEHICLE OCCUPIED OR OPERATED AT THE TIME OF THE ACCIDENT: MAKE YEAR OWNER'S NAME THIS VEHICLE WAS: A BUS OR SCHOOL BUS, A TRUCK, AN...

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welcome to go beyond learning experiences by code Metro our goal in creating this series is to provide you with tangible oftentimes little-known tips that you can apply to both your business and your career our topics will vary as will our speakers and we welcome you to visit our website to get the latest edition of go beyond we appreciate your feedback and invite you to send us your thoughts and questions as well as any suggestions you might have for future topics our first edition of go beyond focuses on tips for completing the CMS 1500 form for faster payment our presenter today is our own chief operating officer dr. kim finger kim has an extensive background in autism having served as a direct service provider in connecticut many years ago after which she segwayed into the world of executive coaching prior to joining code Metro Kim was the chief operating officer at autism spectrum therapies a large california-based autism services company Kim created the insurance billing departme

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