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  • *revised - Npi Cms 1500 (version 08/05) Paper ... - Anthem

Get *revised - Npi Cms 1500 (version 08/05) Paper ... - Anthem

October 15, 2007 *REVISED - NPI CMS 1500 (version 08/05) Paper Claims Filing Update Providers should use the following guidelines when utilizing the new paper CMS 1500 Claim Forms for filing claims.

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How to fill out the *REVISED - NPI CMS 1500 (version 08/05) Paper Claims Form online

The *REVISED - NPI CMS 1500 (version 08/05) Paper Claims Form is essential for providers submitting claims to Anthem Blue Cross and Blue Shield. This guide provides a detailed, step-by-step process for accurately completing the form online.

Follow the steps to effectively complete the form.

  1. Click the ‘Get Form’ button to access the *REVISED - NPI CMS 1500 form and open it in your preferred editing tool.
  2. Begin completing the personal and professional information in the appropriate fields, including the Provider Identification Number (PIN) and National Provider Identifier (NPI). Ensure that all entries are correct and confirm that you are using the latest version of the form.
  3. Fill in the required sections such as patient information and the health care services provided. Pay particular attention to field 17b where you should enter the referring provider's NPI.
  4. Complete field 19 with the referring provider qualifier and taxonomy if applicable. It is strongly advised to report the taxonomy code to accurately reflect the specialty of the provider.
  5. In fields 24J shaded and unshaded, enter the appropriate provider ID information including the Anthem Legacy Provider ID and the NPI. Ensure correct entry format as specified.
  6. Review all sections carefully, especially field 32, which should reflect the service facility name and address, along with any necessary NPI data.
  7. Finalize your form by checking all required fields are completed accurately. Proceed to save your changes, then download, print, or share the filled form as needed.

Complete your *REVISED - NPI CMS 1500 form online today for efficient claims processing.

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To fill out a health insurance claim form properly, start with accurate patient and provider information. Each box must be completed as per the specifications of the CMS 1500 guidelines, including the inclusion of the NPI number and service details. Verify all details before submission to prevent payment delays. Uslegalforms provides templates and instructions that can simplify this process.

The NPI number is placed in Box 24J of the CMS 1500 form. This area specifically identifies the rendering provider's National Provider Identifier, which is necessary for proper claim processing. Be sure to enter the NPI correctly to ensure your claims are not rejected. Many users benefit from resources provided by uslegalforms to verify their entries.

Corrections on a CMS 1500 form should be made directly on the original fields that need adjustment. Use clear, legible writing to avoid confusion, and be sure to cross out incorrect information. It is recommended to submit the REVISED - NPI CMS 1500 (version 08/05) Paper ... - Anthem form to ensure that Anthem processes changes correctly. Always double-check your revisions to confirm accuracy.

To submit a corrected CMS 1500 claim, first, mark the claim as a correction on the top of the form. Ensure you include the original claim number to help Anthem track your submission. Follow the instructions provided on the Anthem portal or your healthcare provider’s office. Utilizing the REVISED - NPI CMS 1500 (version 08/05) Paper ... - Anthem form is essential for success.

Anthem claims can be filed through various methods, including electronic submission and mail. It is vital to check with your specific plan, as filing procedures may vary. Use the REVISED - NPI CMS 1500 (version 08/05) Paper ... - Anthem form when submitting claims for optimal processing. For detailed instructions, visit the Anthem website or contact their support team.

The CMS 1500 form was revised by the Centers for Medicare & Medicaid Services (CMS). This revision process ensures the form remains compliant with current healthcare regulations. By updating the CMS 1500 form, CMS helps streamline claim processing for providers. For those interested, the REVISED - NPI CMS 1500 (version 08/05) Paper ... - Anthem version is crucial for accurate billing.

You can get the CMS 1500 form from various sources, including online platforms and local healthcare offices. The US Legal Forms website offers the REVISED - NPI CMS 1500 (version 08/05) Paper ... - Anthem for easy download. This allows you to access the latest version quickly and efficiently. Additionally, you can check with your medical office or billing department for printed versions of the form.

A CMS 1500 form is typically filled out by healthcare providers, including physicians, therapists, and other qualified professionals. Administrative staff in medical offices often handle the completion of this form to ensure accurate billing and claims submission. It is important to have someone familiar with the billing process to fill out the REVISED - NPI CMS 1500 (version 08/05) Paper ... - Anthem properly. Utilizing US Legal Forms can simplify the task of gathering the required information and completing the form.

The National Provider Identifier (NPI) is located in Box 24J of the CMS 1500 claim form. This box is specifically designated for the provider's NPI number, ensuring that claims are processed accurately and efficiently. Always ensure that your NPI number is correct and matches the information on file with Anthem to avoid delays in payment. For further assistance, the REVISED - NPI CMS 1500 (version 08/05) Paper ... - Anthem is available on US Legal Forms.

You can obtain a CMS 1500 form from several sources. The easiest way is to download it directly from the US Legal Forms website, where you can find the REVISED - NPI CMS 1500 (version 08/05) Paper ... - Anthem. Alternatively, you can request these forms from local healthcare providers or medical supply stores. Make sure to use the latest version of the form to avoid submission issues.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232