chapter medical billing and reimbursement Flashcards

10680168617	Black 1	Type of insurance coverage	0
10680168618	The insured's name is found in block	Block4	1
10680168619	Patients name	Block 2	2
10680168620	The insured address in block 7 refer to	Policyholders address	3
10680168621	The physicians office place of service code	11	4
10680168622	Physicians signature	31	5
10680168623	The assignment is benefits	Block 13	6
10680168624	Procedures performed	24d	7
10680168625	The onset of illness	Block 14	8
10680168626	The billing provider NPI #	33A	9
10680168627	A secondary insurance is	11d	10
10680168628	When completing CMS1500 form, which contains indie about the patient and insured	Section 2	11
10680168629	Which is a fixed amount per visit and is typically paid at the time of medical services	Copayment	12
10680168630	Block 14	Date of current illness injury or pregnancy	13
10680168631	Block17	Name of referring provider and NPI #	14
10680168632	Block21	Diagnosis or nature of illness or injury	15
10680168633	Block18	Hospitalization dates related to current services	16
10680168634	Block23	Prior authorization number	17