5.5.2 CMS-1500 Claim Form (Paper) BillingClaims must contain the billing provider's complete name, address, and a provider identifier. A claim without a provider name, address, or provider identifier cannot be processed. Each claim form must have the appropriate signatory evidence in the signature certification block. Important: When completing a CMS-1500 claim form, all required information must be included on the claim. Information is not keyed from attachments. Superbills or itemized statements are not accepted as claim supplements. Refer to: "CMS-1500 Claim Form (Paper) Billing" . |
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Texas Medicaid & Healthcare Partnership CPT only copyright 2008 American Medical Association. All rights reserved. |
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