You may someday need to file your own insurance claim form. Whether it be that your provider doesn't accept your insurance, so won't do the necessary billing, or you may have a provider that doesn't do "secondary" or "supplemental" claim billing. Whatever the case may be, you need to file it on a
HCFA-1500 claim form. You can download one from the internet @ http://www.dm.usda.gov/shmd/owcp-1500.pdf In order to do this, you will need your own personal insurance information, a copy of your providers bill, which should include the charges, codes (diagnosis and billing), identification numbers, and name,address, phone number, etc. If there are any blanks you do not know how to fill out, or don't understand, call your insurance company and ask for their assistance. They will be able to help you with this, or direct you to the questions and answers you need to get from your provider of services.
Hi. You can find a blank Fillable CMS 1500 Insurance Claim Form here.
ReplyDeletehttp://goo.gl/rXqEfo
Please feel free to use it. You can fill out the form, save it, fax it, and email it.