Answer the following statements true (T) or false (F)

1. If a patient is covered by more than one health plan, form locator 11d is answered Yes and form locators 9, 9a, and 9d must be completed.
2. Form locator 17, Name of referring provider or other source, can include the name of a relative or friend who referred the patient to the physician's office.
3. If form locator 20 is marked Yes because the physician referred the patient to an outside lab for some type of lab work, form locator 32 must also be completed.
4. ICD-10 codes in form locator 21 should be listed in order of precedence with number 1 being the primary diagnosis.
5. The place of service code is mandatory for all claims submitted to Medicare.


1.TRUE
2. FALSE
3. TRUE
4. TRUE
5. TRUE

Health Professions

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