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FIELD 14 ON CMS1500 FORM NEED HELP
Merry:
Any way the carrier can question you they will. So it probably flagged with the dx as a possible accident such as an auto accident. Just my thoughts.
Merry
Michele:
I personally only use that field when it is appropriate and/or required. I leave it blank whenever not required.
Christy:
thanks, all! I truly value your input!
rdmoore2003:
I only use this for workers comp.
shanbull:
We only use it for our auto/workers comp cases as well. I think it's really only intended for liability purposes. State of accident will also flag the claim as the liability of no-fault or worker's comp insurance, which is annoying to sort out even when the case really is due to an auto or worker's comp injury. Especially because auto and worker's comp insurance likes to drag out their decision time-frame as long as they possibly can, well past normal timely filing limits, so we end up having to submit an appeal over that too. Certain ICD codes will do the same thing if the diagnosis is arguably related to trauma. For example, a regular old thoracic vertebra dislocation (839.21) is fine, but if you submit a thoracic sprain instead (847.1) the claim will be flagged. Insurers loooove to get nitpicky about CTL diagnoses.
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