Filopto support claim submission to all USA health insurance companies via the HIPAA compliant CMS 1500 form..
IMPORTANT:
Please note that the information provided herein and at the web reference sites are to be used as a guide line only. You must check with your local agency or insurance company to insure that you have the correct information and procedures, each State and Insurance company may require some modifications to the procedures for submission of the CMS-1500 form.
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For explanations on how to complete the USA CMS 1500 form, we provide you with these links as a service and make no representation whatsoever on their suitability or accuracy.
For general information on how to complete the USA CMS-1500 form: http://cms.hhs.gov/medicare/edi/default.asp
The CMS Claim Processing Manual is available at:
www.cms.hhs.gov/manuals/downloads/clm104c26.pdf
For a copy of the USA CMS 1500 form in black & white (PDF format)
See: http://www.cms.hhs.gov/default.asp?
Printing Claims:
The CMS 1500 form which is printed is a standard Filopto report. As such, it is modifiable by the user. You may need to modify the form to insure that it prints properly on your printer and on the claim standard form. Although we have tested the form on several printers, many printers require different margins to be set to print properly.it CMS-1500 Form
When using the CMS-1500 claim form the following claim screen is presented. The CMS-1500 form is displayed and can be edited by the user. The user must complete the form per the CMS directives and submit the claim for adjudication.
The Claim Form permits users to view the Patient Information (View Patient Info button) and Invoice (Open Invoice button).
IMPORTANT:
When making manual changes to the form, save your changes by selecting the Save Insurance Claim button.
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CMS-1500 Date Calculator
The date Calculator can assist user in entering the claim information which required specific dated to be entered. Enter either a + or - value or a starting date for the calculator to compute the corresponding date.
