HCFA 1500 Form for Auto Accident Claims

If you need to complete an HCFA 1500 form for an Auto Accident Claim, follow the simple steps below:

  1. Make sure Auto Accident Insurance information is updated by going into the patient's Clinical Chart > click on Demographics > Insurances > Auto Accident


      2.  From the Appointment Pop-Up you will want to click on Billing > select correct Billing Status (Auto Accident Claim) > save the changes to the appointment. 

*** Please note, that selecting Auto Accident Claim as the status will send out the claim electronically during the next file pull. ***


     3. You can print the HCFA to mail or fax without sending the claim electronically if you choose. Just select or create a separate custom billing status (suggestion - Auto Accident Claim Submitted) so that you can keep track of them.




       4.  Stay in the Appointment Pop-Up and click on Other Form > select HCFA Form




       5. Updated HCFA Form with Auto Accident information entered


       All patient data listed in this article is sample data.  This is not a real person or real patient data.


       6.  You can then mail or fax the claim to the auto carrier for consideration and reimbursement.