How to Accurately Fill CMS 1500 Ambulance Claims: Boxes 5-9B Explained

Navigating the intricacies of medical billing, especially for ambulance services, demands precision and a thorough understanding of forms like the CMS 1500. Accurate completion of this form is crucial for timely reimbursement and preventing claim denials. This guide provides comprehensive CMS 1500 ambulance billing instructions, focusing on the critical patient and other insured details found in Boxes 5 through 9B. Master these fields to streamline your billing process and ensure compliance.

Understanding CMS 1500 Box 5: Patient’s Address and Contact Information

Block Code: O (Optional) While marked as optional by some payers, entering complete patient information on CMS 1500 forms is almost always a best practice for ambulance claims.

Step-by-Step Instructions for Box 5:

  • Line 1: Enter the patient’s full mailing street address.
  • Line 2: Enter the city, state, and ZIP code.
  • Line 3 (Optional): You may include the patient’s telephone number, though it’s often more critical in other sections or in your system.

Example: For a patient residing at 123 Main Street, Anytown, CA 90210, you would enter

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