Author Topic: Claim Forms to Use  (Read 1726 times)

TQualls

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Claim Forms to Use
« on: May 18, 2009, 10:39:42 PM »
Hi!  I am office manager for a start up express care clinic in TN.  We are opening June 1.  I was wondering which form I will need to file my paper claims on until we are live to send bills electronically.  My FNP is credentialed as a private practice provider, so I am not billing as a facility.  Would I be correct by filing a HCFA (CMS) 1500 form to each insurance company?  Or will I need to use the UB 04 forms?
Thanks!
Tammie

Michele

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Re: Claim Forms to Use
« Reply #1 on: May 19, 2009, 06:43:00 AM »
The CMS 1500 would be correct for billing professional services.  The UB04 is used for facility billing.

Michele
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laurajean412

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Re: Claim Forms to Use
« Reply #2 on: June 19, 2009, 10:16:18 PM »
What is the difference between facility billing and professional billing?
Laura

Denise35

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Re: Claim Forms to Use
« Reply #3 on: June 19, 2009, 10:56:44 PM »
Facility Billing such as Skilled Nursing Facility is basically UB04s claim forms and revenue codes.  Physician billing is on the HCFA 1500 with CPT and HCPCS.

I hope this helps,

Denise 35
« Last Edit: June 19, 2009, 11:06:23 PM by Denise35 »
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laurajean412

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Re: Claim Forms to Use
« Reply #4 on: June 19, 2009, 11:13:37 PM »
That does! Thank you!
Laura