For What box 19 – Reserved for local use box used.
Box 19 If Applicable Reserved for Local Use – Use this area for procedures that require additional information, justification or an […]
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CMS 1500
bing
CMS 1500 BOX 17 – Referring provider with example
How should I list the name of the ordering/referring provider when submitting my paper and electronic claims?Answer:Paper Claims- Block 17
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BOX 31 to BOX 33 – Detailed review
31 Signature Signature of person authorized to certify this claim. By signing the BMS Provider Enrollment Agreement providers have certified that
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Can we leave CMS BOX 32 AS blank
Answer is Yes, read below32 Line 1Service Facility NameRequired if Service Facility Location is present in 32aEnter name of service