Get Updated Cms 1500 Claim Form Version 02/12 To Be ... - Anthem

Filling out the Updated CMS 1500 Claim Form Version 02/12 can be a straightforward process when you have the right guidance. This guide will provide you with detailed, step-by-step instructions to help you accurately complete the form online.

Follow the steps to effectively complete the claim form.

1. Click the ‘Get Form’ button to access the claim form and open it in a suitable online editor.
2. Begin by entering the patient's personal information, including their name, address, and date of birth. Ensure that all details are accurate and match the patient’s insurance documentation.
3. Next, fill in the provider's information. This includes the provider's name, address, and National Provider Identifier (NPI) number. Double-check these entries for correctness.
4. In the insurance section, provide the details of the insurance policy, such as the policy number and group number. Confirm that the insurance information corresponds with what is provided to the patient.
5. Complete the section for services rendered by detailing the procedure codes, dates of service, and any necessary modifiers. Use accurate codes to prevent claim denials.
6. Ensure that you document the charges for each service accurately. This should include the total amount billed for each service provided.
7. Review all entered information for completeness and accuracy before submitting the claim. Any errors can result in delays or denials.
8. Once you have confirmed that all fields are correctly filled out, you can save your changes. Choose to download, print, or share the form as needed to complete the submission process.

Start completing your documents online today.