Save
Busy. Please wait.
Log in with Clever
or
show password
Forgot Password?
Don't have an account?  Sign up 
Sign up using Clever
or
Username is available taken
show password


Make sure to remember your password. If you forget it there is no way for StudyStack to send you a reset link. You would need to create a new account. Your email address is only used to allow you to reset your password. See our Privacy Policy and Terms of Service.

Already a StudyStack user? Log In

Reset Password
Enter the associated with your account, and we'll email you a link to reset your password.
focusNode
Didn't know it?
click below
 
Knew it?
click below
Don't Know
Remaining cards (0)
Know
0:00
edit
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.

  Normal Size     Small Size show me how

Health Insurance

CMS-1500

QuestionAnswer
box 1 insurance type
box 1a ID number insurance number
box 2 last, first, middle
box3 patient birthday
box 4 insured name
box 5 patient address
box 6 patient relationship to insured
box 7 insured address
box 9 second insurance
box 10 employment accident auto accident other accisent
box 11 group number - if available
box 12 SIGNATURE ON FILE or SOF
box 13 SIGNATURE ON FILE or SOF
box 14 date of first occurrence 01 02 2023 or date of last menstrual period (LMP) AND qualifier 431 onset of current symptoms / illness or injury 484 last menstrual period
box 15 other date or leave blank
box 16 dates unable to work
box 17 name of referring provider
box 17b NPI national provider number
box 18 hospital admit / discharge dates
box 20 outside lab / charges
box 21 ICD-10-CM codes (diagnoses) up to 12 ICD Ind enter 0 will relate to CPT/HCPCS service or procedure codes in box 24e
box 22 for resubmitted claims
box 23 prior authorization number
box 24a date of procedure
box 24b place of service
box 24d procedure, service, supplies CPT/HCPCS and Modifier
box 24e diagnoses pointer
box 24f charges
box 24g days or units
box 24j NPI of provider who did the service, procedure or test leave blank for solo practitioner
box 25 EIN
box 26 patient account number from provider
box 27 accept assignment
box 28 total charges
box 29 patient OR other insurance payment amount if made
box 31 provider name and credential. AND date without space MARY SMITH MD MMDDYYYY
box 32 name and address other than provider office. (like hospital, nursing facility)
box 32a NPI of other place (like hospital, nursing facility)
box 33 provider phone, name, address
box 33a provider NPI
Created by: tbharris
Popular Medical sets

 

 



Voices

Use these flashcards to help memorize information. Look at the large card and try to recall what is on the other side. Then click the card to flip it. If you knew the answer, click the green Know box. Otherwise, click the red Don't know box.

When you've placed seven or more cards in the Don't know box, click "retry" to try those cards again.

If you've accidentally put the card in the wrong box, just click on the card to take it out of the box.

You can also use your keyboard to move the cards as follows:

If you are logged in to your account, this website will remember which cards you know and don't know so that they are in the same box the next time you log in.

When you need a break, try one of the other activities listed below the flashcards like Matching, Snowman, or Hungry Bug. Although it may feel like you're playing a game, your brain is still making more connections with the information to help you out.

To see how well you know the information, try the Quiz or Test activity.

Pass complete!
"Know" box contains:
Time elapsed:
Retries:
restart all cards