Na-akwadebe ụdị CMS-1500 Medical Claim

Ụdị Ịgba Ụgwọ Ọgwụ Ahụike Maka Ahụike, Medicaid, na ndị Ọhụụ

CMS-1500 bụ akwụkwọ nchịkwa ọkọlọtọ na-acha ọbara ọbara-ink-na-white-akwụkwọ nke ndị dọkịta na ndị na-eweta ihe nkwụnye ụgwọ na-akwụ ụgwọ. Ọ bụ ezie na Ụlọ Ọrụ Na-ahụ Maka Ahụike na Medicaid (CMS) mepụtara ya, ọ ghọwo ụdị ọkọlọtọ nke ndị ọhụụ niile na-ebu.

A na-edeghachi ya ugboro ugboro. Site n'April 1, 2014, akwụkwọ a gbanwetụrụ 02/12 bụ nanị onye na-anabata Medicare.

Oge ochie nke 08/05 abaghịzi uru.

Ole ndị nwere ike ịme ụgwọ site na iji CMS-1500?

Onye ọ bụla na-abụghị ndị na-eweta ọrụ na ndị na-ebu sistema nwere ike iji CMS-1500 maka ụgwọ ịgba ụgwọ ịgba ụgwọ .

Atụmatụ maka Ịkwadebe CMS-1500

Enwere ike ịchọta ntụziaka zuru ezu na www.cms.gov ma ọ bụ www.nucc.org

Nyocha nke CMS 1500 - Version 02/12

Emere January 6, 2014, a kwadoro nsụgharị a gbanwere (02/12) nke CMS 1500 maka iji ya. E mepụtara usoro CMS 1500 a (mbipute 02/12) iji kwado na ngbanwe usoro dị na ịgba ụgwọ kọmputa site na mbipụta 4010 ruo na 5010 nke 837P na mgbanwe site na ICD 9 ruo ICD 10.

A na-ebido ụdị ahụ na Jenụwarị 6, 2014. Site n'April 1, 2014, ndị na-enye ọrụ nwere ike iji ụdị CMS 1500 a gbanwere edegharị (mbipute 02/12). A gaghị eji ihe ọ bụla ejidere 08/05.

Esemokwu n'etiti Version 08/05 na Version 02/12

  1. Isi ihe: Ejiri QR code dochie akara anọ anọ.
  2. Onye Nchọta Ubi 1: ECHICHE CHAMPUS na TRICARE; Ejiri SSN dochie anya ID #
  3. Onye Nchọta Ebe Ọhịa 8: ECHICHE ỤLỌ ECHICHE site na IHE NDỊ NUCC were
  4. Onye Nchọta Ubi 9b: EGBE OZI NDỤ MGBE ỌTỤRỤ, SEX gbanwere ya na NKWUKWU NDỊ NUCC
  5. Onye Nchọta Ubi 9c: Ejiri aha ma ọ bụ akwụkwọ na-arụ ọrụ ma jiri aka rụọ ọrụ maka NUCC
  6. Onye Nchọta Ubi 10d: ECHICHE NDỊ KWESỊRỊ ECHICHE jiri CLAIM CODES dochie ya (NUCC depụtara ya)
  7. Onye na-ekpuchi ubi 11b: ECHICHE aha ma ọ bụ akwụkwọ a dochie anya ya na OTHER CLAIM ID (Nke NUCC dere); a gbakwunyere eriri akara akara iji mee ka e jiri akara nrịba abụọ dị 2
  8. Onye Nchọta Ubi 14: DATE OF CURENTENT (arrow uhie) ỤBỤRỤ (mgbaàmà mbụ) ma ọ bụ NWA (ihe mberede) OR PREGNANCY (LMP) bụ DATE OF ILLNESS, INJURY, or PREGNANCY (LMP); A kwukwara QUAL, a gbakwụnyekwara eriri akara aka iji nweta nhazi akara 3
  9. Onye Na-ahụ Ugbo 15: Ọ BỤRỤ na Ọ BỤLA ANYỊ NA-ECHI Ọ BỤ Ọ BỤ Ọ BỤ Ọ BỤ Ọ BỤ Ọ BỤ Ọ BỤ ỊDỤ ỌZỌ BỤRỤ ỤBỌCHỤ AMỤKWỌ BỤ ọ BỤ ỌTỤTỤ ụbọchị; A kwukwara QUAL, a gbakwụnyekwara eriri akara aka iji nweta nhazi akara 3
  1. Onye Nchọta Ubi 17: E tinyekwara eriri akara akara iji mee ka ihe ruru eru 2 dị
  2. Onye Nchọta Ubi 19: AHỤRỤ NDỊ ECHICHE NDỊ ECHICHE jiri ihe ọzọ agbakwunyere (Dọpụtara site na NUCC) dochie ya.
  3. Ejiri mgbakwunye nke ubi 21: ICD Ind. A gbakwụnyekwara eriri akara aka iji mee ka a jiri akara 1-digit; 8 agbakwunyere agbakwunyere maka nchọpụta nchoputa; a gbanwere aha maka nchọta nchọta nchoputa site na nọmba na mkpụrụedemede
  4. Onye Nchọta Ubi 22: Ejila MEDICAID RESUBRE dochie ya
  5. Onye Nchọta Ubi 30: Rsvd gbanwere BALANCE DUE maka NUCC Jiri