The CMS-1500 is the standard paper claim form used by all non-institutional medical providers (private practices, etc.) to bill Medicare, and is also, accepted by health insurance payers.
The forms are printed in special red ink so that they can be easily scanned and the data read by a computer.
The CMS-1500 is separated into a series of boxes to collect all the necessary information needed to submit an accurate claim.
The fields include payer information, insurance information, patient demographic information, ICD-10 codes, and dates of service.
The first box in the CMS-1500 is for identifying the payer. (ie. Medicare, Medicaid, insurance, etc.)
A grouping of boxes make up information about the insured, like the insured policy number, plan name, policy group and contact information.
Next, you have patient contact information and his/her relationship to the insured.
In box 21, is where you’ll put the ICD-10 codes.