
Match block 17 with the appropriate content as it relates to completing the CMS-1500 form. (Select all that apply.)
A) National provider identification number
B) Preauthorization number
C) Date of current illness, injury, or pregnancy
D) Diagnosis or nature of illness or injury
E) Name of referring provider
F) Hospitalization dates related to current services
Correct Answer:
Verified
Q19: Which of the following is a common
Q20: Claims that have errors or omissions that
Q21: The charges for procedures are listed in
Q22: The primary insurance policy information is contained
Q23: The medical assistant should _ the front
Q25: The abbreviation often used in blocks 12,
Q26: Only physicians can be providers of medical
Q27: Secondary insurance policy information is contained in
Q28: Patients sign an _ of benefits form
Q29: Dirty claims cannot be resubmitted.
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