The health insurance professional should be familiar with the CMS-1500 paper claim process because:
A) the NUCC recommends it.
B) it is a HIPAA mandate.
C) not all providers submit claims electronically.
D) the CMS-1500 form must be used for Medicare claims.

Question

Quizplus · Accepted Answer

While electronic claims are becoming more prevalent, not all providers have made the switch, so it is important for health insurance professionals to understand the paper claim process. They should be able to assist providers with properly completing and submitting the CMS-1500 form, which is still required for certain types of claims, such as Medicare claims. While the NUCC does provide recommendations for claim forms, and HIPAA does include regulations concerning claim processing, these are not the primary reasons for understanding the paper claim process.

The Health Insurance Professional Should Be Familiar with the CMS-1500