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HCFA 1500 Box 33 - How Do I Use an Alternative Pay to Address

Last Updated: 09/17/2024 in Billing Claims Professional Claims Adding Elements on the HCFA 1500 Form

If you want to add an alternative pay-to address or lockbox (P.O. Box) address in box 33 on the HCFA 1500 Form, follow the steps outlined below: 1. Hover your cursor on the Account tab and select Offices . 2. Click on the Edit b...
HCFA 1500 Box 31 - Print License On the claim form

Last Updated: 09/17/2024 in Billing Claims Professional Claims Adding Elements on the HCFA 1500 Form

If the payer requires, you can print your state license number on the HCFA form in box #31 and the charge line. To set it up, follow the steps below. 1. Navigate to Billing > Insurance Set Up 2. Click on the Edit (Pencil...
HCFA 1500 Box 21 - Procedure Code Qualifier

Last Updated: 09/17/2024 in Billing Claims Professional Claims Adding Elements on the HCFA 1500 Form

On both professional and institutional claims, the entity must disclose whether ICD-9 or ICD-10 codes are being utilized. Since October 1, 2015 claims have been required to use ICD-10 coding. DrChrono will automatically print the procedure code...
HCFA 1500 Box 19 - How Do I Add a Billing Note

Last Updated: 09/17/2024 in Billing Claims Professional Claims Adding Elements on the HCFA 1500 Form

Occasionally, you might need to add extra information to Box 19 on the HCFA claim form that will be transmitted to the payer with the claim. DrChrono makes it easy to add whatever you need. Once inside the appointment ( Billing > Live C...
HCFA 1500 Box 17 - How do I print the referring/supervising provider's information

Last Updated: 09/17/2024 in Billing Claims Professional Claims Adding Elements on the HCFA 1500 Form

There are 2 different ways to print the referring provider's information in box 17 on the HCFA 1500 form. Persistent - You can enter into the patient's demographics so that it will appear on all of the patient's future appointment...
HCFA 1500 Boxes 14 & 15: Initial Visit and Onset Dates

Last Updated: 09/17/2024 in Billing Claims Professional Claims Adding Elements on the HCFA 1500 Form

DrChrono allows you to set an initial visit date for your patient so that you can have this automatically populate on your HCFA-1500 forms. To set the initial visit date please follow these instructions: 1. Navigate to the patient's chart ...
HCFA 1500 Box 12 - How does signature on file get added to a professional claim form?

Last Updated: 09/17/2024 in Billing Claims Professional Claims Adding Elements on the HCFA 1500 Form

The signature on file, box 12 on the HCFA-1500 form, is populated from the patient chart in two ways: manually or through signing a consent form. The signature on file can be found in the patient's chart by selecting the...
HCFA 1500 Box 11 - How to enter 'NONE' to be displayed

Last Updated: 09/17/2024 in Billing Claims Professional Claims Adding Elements on the HCFA 1500 Form

Most insurances do not require box #11 (Insured's policy group or FECA number) to display the word "NONE". However, you may come across this scenario specifically with Medicare. To update this information, please follow the steps outlined below: ...
Video: Aligning your HCFA 1500 form

Last Updated: 09/17/2024 in Billing Claims Professional Claims Adding Elements on the HCFA 1500 Form

The HCFA 1500 text form should be used if you have the pre-formatted red HCFA paper loaded into your printer. If you are printing on plain, white, 8.5" x 11" paper, you want to use the HCFA 1500 non-text option. It w...
My printed HCFA form is not aligned.

Last Updated: 09/17/2024 in Billing Claims Professional Claims Adding Elements on the HCFA 1500 Form

In DrChrono you may fill out HCFA-1500 forms by printing your claim information directly onto the blank HCFA form utilizing the HCFA-1500 (text) option. The option in DrChrono is only configured to work with the most recent HCFA-1500 versio...