HCFA-1500 PDF form, Free download.

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Form Name:   HCFA-1500
Tags:   medical form out of network
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Date:   2/5/2010
Size:   22KB
Type:   .PDF
     
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1a. INSUREDÕS I.D. NUMBER (FOR PROGRAM IN ITEM 1)4. INSUREDÕS NAME (Last Name, First Name, Middle Initial)7. INSUREDÕS ADDRESS (No., Street)CITYSTATEZIP CODE TELEPHONE (INCLUDE AREA CODE)11. INSUREDÕS POLICY GROUP OR FECA NUMBERa. INSUREDÕS DATE OF BIRTHb. EMPLOYERÕS NAME OR SCHOOL NAMEc. INSURANCE PLAN NAME OR PROGRAM NAMEd. IS THERE ANOTHER HEALTH BENEFIT PLAN?13. INSUREDÕS OR AUTHORIZED PERSONÕS SIGNATURE I authorizepayment of medical benefits to the undersigned physician or supplier forservices described below.SEX FHEALTH INSURANCE CLAIM FORMOTHER1. MEDICARE MEDICAID CHAMPUS CHAMPVAREAD BACK OF FORM BEFORE COMPLETING & SIGNING THIS FORM.12. PATIENTÕS OR AUTHORIZED PERSONÕS SIGNATURE I authorize the release of any medical or other information necessaryto process this claim. I also request payment of government benefits either to myself or to the party who accepts assignmentbelow.SIGNED DATEILLNESS (First symptom) ORINJURY (Accident) ORPREGNANCY(LMP)MM DD YY15. IF PATIENT HAS HAD SAME OR SIMILAR ILLNESS.GIVE FIRST DATEMM DD YY14. DATE OF CURRENT:17. NAME OF REFERRING PHYSICIAN OR OTHER SOURCE19. RESERVED FOR LOCAL USE21. DIAGNOSIS OR NATURE OF ILLNESS OR INJURY. (RELATE ITEMS 1,2,3 OR 4 TO ITEM 24E BY LINE)17a. I.D. NUMBER OF REFERRING PHYSICIANFromMM DD YYToMM DD YY12345625. FEDERAL TAX I.D. NUMBER SSN EIN 26. PATIENTÕS ACCOUNT NO. 27. ACCEPT ASSIGNMENT?(For govt. claims, see back)31. SIGNATURE OF PHYSICIAN OR SUPPLIERINCLUDING DEGREES OR CREDENTIALS(I certify that the statements on the reverseapply to this bill and are made a part thereof.)SIGNEDDATE32. NAME AND ADDRESS OF FACILITY WHERE SERVICES WERERENDERED (If other than home or office)SIGNEDMM DD YYFROMTOFROMTOMM DD YYMM DD YYMM DD YYMM DD YYCODE ORIGINAL REF. NO.$ CHARGESEMGCOBRESERVED FORLOCAL USE28. TOTAL CHARGE29. AMOUNT PAID30. BALANCE DUE$$$33. PHYSICIANÕS, SUPPLIERÕS BILLING NAME, ADDRESS, ZIP CODE& PHONE #PIN#GRP#PICAPICA2. PATIENTÕS NAME (Last Name, First Name, Middle Initial)5. PATIENTÕS ADDRESS (No., Street)CITYSTATEZIP CODE TELEPHONE (Include Area Code)9. OTHER INSUREDÕS NAME (Last Name, First Name, Middle Initial)a. OTHER INSUREDÕS POLICY OR GROUP NUMBERb. OTHER INSUREDÕS DATE OF BIRTHc. EMPLOYERÕS NAME OR SCHOOL NAMEd. INSURANCE PLAN NAME OR PROGRAM NAME(APPROVED BY AMA COUNCIL ON MEDICAL SERVICE 8/88)YES NO ( )If yes, return to and complete item 9 a-d.16. DATES PATIENT UNABLE TO WORK IN CURRENT OCCUPATION18. HOSPITALIZATION DATES RELATED TO CURRENT SERVICES20. OUTSIDE LAB?$ CHARGES22. MEDICAID RESUBMISSION23. PRIOR AUTHORIZATION NUMBERMM DD YYCARRIERPATIENT AND INSURED INFORMATIONPHYSICIAN OR SUPPLIER INFORMATIONM FYES NOYES NO1.3.2.4.DATE(S) OF SERVICETypeofServicePlaceofServicePROCEDURES, SERVICES, OR SUPPLIES(Explain Unusual Circumstances) CPT/HCPCS MODIFIERDIAGNOSISCODEPLEASEDO NOTSTAPLEIN THISAREA FMSEXMM DD YY YES NO YES NO YES NOPLACE (State)GROUPHEALTH PLANFECABLK LUNG Single Married Other3. PATIENTÕS BIRTH DATE6. PATIENT RELATIONSHIP TO INSURED8. PATIENT STATUS 10. IS PATIENTÕS CONDITION RELATED TO:a. EMPLOYMENT? (CURRENT OR PREVIOUS)b. AUTO ACCIDENT?c. OTHER ACCIDENT?10d. RESERVED FOR LOCAL USEEmployed Full-Time Part-Time Student StudentSelf Spouse Child Other (Medicare #) (Medicaid #) (SponsorÕs SSN) (VA File #) (SSN or ID) (SSN) (ID)( )MSEXDAYSORUNITSEPSDTFamilyPlanFGHIJK24.ABCDEPLEASE PRINT OR TYPE FORM HCFA-1500 (12-90), FORM RRB-1500, FORM OWCP-1500APPROVED OMB-0938-0008BECAUSE THIS FORM IS USED BY VARIOUS GOVERNMENT AND PRIVATE HEALTH PROGRAMS, SEE SEPARATE INSTRUCTIONS ISSUED BYAPPLICABLE PROGRAMS.NOTICE: Any person who knowingly files a statement of claim containing any misrepresentation or any false, incomplete or misleading information maybe guilty of a criminal act punishable under law and may be subject to civil penalties.REFERS TO GOVERNMENT PROGRAMS ONLYMEDICARE AND CHAMPUS PAYMENTS: A patientÕs signature requests that payment be made and authorizes release of any information necessary to processthe claim and certifies that the information provided in Blocks 1 through 12 is true, accurate and complete. In the case of a Medicare claim, the patientÕs signatureauthorizes any entity to release to Medicare medical and nonmedical information, including employment status, and whether the person has employer group healthinsurance, liability, no-fault, workerÕs compensation or other insurance which is responsible to pay for the services for which the Medicare claim is made. See 42CFR 411.24(a). If item 9 is completed, the patientÕs signature authorizes release of the information to the health plan or agency shown. In Medicare assigned orCHAMPUS participation cases, the physician agrees to accept the charge determination of the Medicare carrier or CHAMPUS fiscal intermediary as the full charge,and the patient is responsible only for the deductible, coinsurance and noncovered services. Coinsurance and the deductible are based upon the chargedetermination of the Medicare carrier or CHAMPUS fiscal intermediary if this is less than the charge submitted. CHAMPUS is not a health insurance program butmakes payment for health benefits provided through certain affiliations with the Uniformed Services. Information on the patientÕs sponsor should be provided in thoseitems captioned in ÒInsuredÓ; i.e., items 1a, 4, 6, 7, 9, and 11.BLACK LUNG AND FECA CLAIMSThe provider agrees to accept the amount paid by the Government as payment in full. See Black Lung and FECA instructions regarding required procedure anddiagnosis coding systems.SIGNATURE OF PHYSICIAN OR SUPPLIER (MEDICARE, CHAMPUS, FECA AND BLACK LUNG)I certify that the services shown on this form were medically indicated and necessary for the health of the patient and were personally furnished by me or were furnishedincident to my professional service by my employee under my immediate personal supervision, except as otherwise expressly permitted by Medicare or CHAMPUSregulations.For services to be considered as ÒincidentÓ to a physicianÕs professional service, 1) they must be rendered under the physicianÕs immediate personal supervisionby his/her employee, 2) they must be an integral, although incidental part of a covered physicianÕs service, 3) they must be of kinds commonly furnished in physicianÕsoffices, and 4) the services of nonphysicians must be included on the physicianÕs bills.For CHAMPUS claims, I further certify that I (or any employee) who rendered services am not an active duty member of the Uniformed Services or a civilian employeeof the United States Government or a contract employee of the United States Government, either civilian or military (refer to 5 USC 5536). For Black-Lung claims,I further certify that the services performed were for a Black Lung-related disorder.No Part B Medicare benefits may be paid unless this form is received as required by existing law and regulations (42 CFR 424.32).NOTICE: Any one who misrepresents or falsifies essential information to receive payment from Federal funds requested by this form may upon conviction be subjectto fine and imprisonment under applicable Federal laws.NOTICE TO PATIENT ABOUT THE COLLECTION AND USE OF MEDICARE, CHAMPUS, FECA, AND BLACK LUNG INFORMATION(PRIVACY ACT STATEMENT)We are authorized by HCFA, CHAMPUS and OWCP to ask you for information needed in the administration of the Medicare, CHAMPUS, FECA, and Black Lungprograms. Authority to collect information is in section 205(a), 1862, 1872 and 1874 of the Social Security Act as amended, 42 CFR 411.24(a) and 424.5(a) (6), and44 USC 3101;41 CFR 101 et seq and 10 USC 1079 and 1086; 5 USC 8101 et seq; and 30 USC 901 et seq; 38 USC 613; E.O. 9397.The information we obtain to complete claims under these programs is used to identify you and to determine your eligibility. It is also used to decide if the servicesand supplies you received are covered by these programs and to insure that proper payment is made.The information may also be given to other providers of services, carriers, intermediaries, medical review boards, health plans, and other organizations or Federalagencies, for the effective administration of Federal provisions that require other third parties payers to pay primary to Federal program, and as otherwise necessaryto administer these programs. For example, it may be necessary to disclose information about the benefits you have used to a hospital or doctor. Additional disclosuresare made through routine uses for information contained in systems of records.FOR MEDICARE CLAIMS: See the notice modifying system No. 09-70-0501, titled, ÔCarrier Medicare Claims Record,Õ published in the Federal Register, Vol. 55No. 177, page 37549, Wed. Sept. 12, 1990, or as updated and republished.FOR OWCP CLAIMS: Department of Labor, Privacy Act of 1974, ÒRepublication of Notice of Systems of Records,Ó Federal Register Vol. 55 No. 40, Wed Feb. 28,1990, See ESA-5, ESA-6, ESA-12, ESA-13, ESA-30, or as updated and republished.FOR CHAMPUS CLAIMS: PRINCIPLE PURPOSE(S): To evaluate eligibility for medical care provided by civilian sources and to issue payment upon establishmentof eligibility and determination that the services/supplies received are authorized by law.ROUTINE USE(S): Information from claims and related documents may be given to the Dept. of Veterans Affairs, the Dept. of Health and Human Services and/orthe Dept. of Transportation consistent with their statutory administrative responsibilities under CHAMPUS/CHAMPVA; to the Dept. of Justice for representation ofthe Secretary of Defense in civil actions; to the Internal Revenue Service, private collection agencies, and consumer reporting agencies in connection with recoupmentclaims; and to Congressional Offices in response to inquiries made at the request of the person to whom a record pertains. Appropriate disclosures may be madeto other federal, state, local, foreign government agencies, private business entities, and individual providers of care, on matters relating to entitlement, claimsadjudication, fraud, program abuse, utilization review, quality assurance, peer review, program integrity, third-party liability, coordination of benefits, and civil andcriminal litigation related to the operation of CHAMPUS.DISCLOSURES: Voluntary; however, failure to provide information will result in delay in payment or may result in denial of claim. With the one exception discussedbelow, there are no penalties under these programs for refusing to supply information. However, failure to furnish information regarding the medical services renderedor the amount charged would prevent payment of claims under these programs. Failure to furnish any other information, such as name or claim number, would delaypayment of the claim. Failure to provide medical information under FECA could be deemed an obstruction.It is mandatory that you tell us if you know that another party is responsible for paying for your treatment. Section 1128B of the Social Security Act and 31 USC 3801-3812 provide penalties for withholding this information.You should be aware that P.L. 100-503, the ÒComputer Matching and Privacy Protection Act of 1988Ó, permits the government to verify information by way of computermatches.MEDICAID PAYMENTS (PROVIDER CERTIFICATION)I hereby agree to keep such records as are necessary to disclose fully the extent of services provided to individuals under the StateÕs Title XIX plan and to furnishinformation regarding any payments claimed for providing such services as the State Agency or Dept. of Health and Humans Services may request.I further agree to accept, as payment in full, the amount paid by the Medicaid program for those claims submitted for payment under that program, with the exceptionof authorized deductible, coinsurance, co-payment or similar cost-sharing charge.SIGNATURE OF PHYSICIAN (OR SUPPLIER): I certify that the services listed above were medically indicated and necessary to the health of this patient and werepersonally furnished by me or my employee under my personal direction.NOTICE: This is to certify that the foregoing information is true, accurate and complete. I understand that payment and satisfaction of this claim will be from Federal and Statefunds, and that any false claims, statements, or documents, or concealment of a material fact, may be prosecuted under applicable Federal or State laws.Public reporting burden for this collection of information is estimated to average 15 minutes per response, including time for reviewing instructions, searching existingdate sources, gathering and maintaining data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate orany other aspect of this collection of information, including suggestions for reducing the burden, to HCFA, Office of Financial Management, P.O. Box 26684, Baltimore,MD 21207; and to the Office of Management and Budget, Paperwork Reduction Project (OMB-0938-0008), Washington, D.C. 20503.