Examples of Paper Claims in a sentence
Claims for which the Electronic Payment Card has been used cannot be submitted as Traditional Paper Claims.
If you elect not to use the electronic payment card, you may also submit claims under the Traditional Paper Claims approach discussed above.
Paper Claims Submitted on the Form CMS-1500 Note that for claims processed on the Form CMS-1500 prior to January 1, 2011, the following instructions do not apply to services rendered at POS home – 12 or any other places of service contractors consider to be home.
If you elect not to use the Electronic Payment Card, you may also submit claims under the Traditional Paper Claims approach discussed above.
A claim correction can be submitted via the following procedures:• Paper Claims – Write “CORRECTED CLAIM” in the top (blank) portion of the CMS-1500 (08/05 version) or UB-04 claim form.
See Section 1.2 - Addresses for Provider Paper Claims Billing Address.
If you elect not to use the electronic payment card, you may also submit claims under the Traditional Paper Claims approach discussed above in 1.09.
Paper Claims: Show the provider’s Billing NPI in box 33a and Rendering NPI in box 32a on all CMS-1500 claims.
Paper Claims Address (on the SHARP ID card):Adventist Risk Management, Inc.
KP will identify a corrected claim based on the coding described below: Paper Claims - Corrected claims should be submitted using CMS standards that include the use of Frequency Code 7 in field 22 on the CMS form along with the original claim number.