Author Topic: Patient completing claim form  (Read 1364 times)

cmolsberry

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Patient completing claim form
« on: September 30, 2008, 10:50:52 AM »
This may be a dumb question but...  The patient is filing their own claim form because we don't file when insurance doesn't cover services.  We provide the member with clinical support docs and itemized statement to file a claim for denial so they can start the appeal process.  Anyway, the member brought in their BCBS claim form because there's a place for the provider to sign. My two part question is this:  Is the provider truly required to sign the member claim form?  If so, why?  (We never sign claim forms when we/the provider don't file.)

Michele

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Re: Patient completing claim form
« Reply #1 on: September 30, 2008, 01:10:09 PM »
When you submit claims for a provider's office you must fill in box 31 on the CMS 1500 with a computer generated provider signature.  For example, John H Doe, MD.  It doesn't have to be an actual signature. 

If you are non par with BCBS then you only need to supply the patient with the info necessary for the patient to file the claim themselves.  If the claim form has a place for the provider's signature the patient probably can just attach the info you supplied and BCBS will most likely accept it that way (without the signature).  I think they have the spot there so that if the provider's office actually fills out the services on the BC form then they sign to verify they performed those services. 

Michele
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