Using the CMS-1500 form, examiners become familiar with the various blocks and start to know where to obtain the information required for completing and processing claim forms. Identify, explain, and describe in list form the various uses of the blocks followed by an in-depth description of the Information about the Patient block

Question

What will be an ideal response?

Answer 1

Answer:
Since it is easier to remember information in groups, the CMS-1500 is broken into sections for understanding. These sections include information about the patient, the insured, the secondary insurance, third party liability, authorization signature, the illness, the procedures performed, and the provider of services.
Information about the Patient
These blocks contain information about the patient.
1. Medicare, Medicaid, TRICARE, CHAMPVA, Group Health Plan, FECA, Black Lung, or Other. Check the box of the organization to which you are submitting this claim for payment.
2. Patient's Name. Enter patient name.
3. Patient's Birth Date and Sex. All dates should be recorded as Month/Day/Year, i.e., 01/13/2012. Check the box for the appropriate sex.
5. Patient's Address, City, State, ZIP Code, and Phone Number. Enter address.
6. Patient's Relationship to Insured. Spouse, self, etc.
8. Patient's Status. Check applicable boxes.