Author Topic: Question on Block 27 on the HICF 1500 form?  (Read 1669 times)

cmvwalker

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Question on Block 27 on the HICF 1500 form?
« on: September 15, 2017, 01:49:13 PM »
If you are a non participating provider and select YES in box 27, does this mean you accept assignment for all insurance companies, or just for government claims?
What exactly does "accept assignment" mean?

Michele

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Re: Question on Block 27 on the HICF 1500 form?
« Reply #1 on: September 18, 2017, 09:58:41 AM »
It can be used on all insurance carriers however, not all insurance plans will go by what is indicated in box 27.  Whether or not they will all you to accept assignment on a claim will depend on the individual plan.

Information about box 27 from a previous post:

Question
Could you tell me what "accept assignment" means in block 27 on the HCFA 1500 form?
Teri C

Answer
Hi Teri,
Block 27 "accepts assignment" on the HCFA 1500 form is to indicate whether the provider of service or supplier  accepts assignment of benefits.  In other words, it means that the provider accepts what the insurance carrier allows as payment in full.  If a provider participates with an insurance carrier they have a contract and agree that the provider will accept the allowed amount so the provider would check "yes".  If they do not participate and do not wish to accept what the insurance carrier allows, they would check "no".  A provider who does not participate can opt to accept assignment on just a particular claim by checking the "yes" box just for those services.
Michele

Another Question
Thanks, but I'm still unclear about something.  When you check "no" doesn't the insurance payment go to the patient?
Teri

Answer
Checking "no" does not necessarily mean that the payment will go directly to the patient.  It actually depends on each individual insurance carrier.  I can't give you a straight yes or no answer.  In my opinion, checking "no" means there is a good chance that the payment will go to the patient.  To be sure, you would need to call the insurance carrier to see how they process claims with "no" in the assignment box.  Some companies mail the payment to the provider no matter what, and others send the payments to the patients if the provider is not in network.
I hope this helps a little.
Michele


« Last Edit: September 18, 2017, 10:00:15 AM by Michele »
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