On the CMS-1500 claim form, which block is used to enter secondary insurance information such as AARP?

Prepare for the NHA Certified Billing and Coding Specialist (CBCS) Exam with engaging quizzes. Study with multiple choice questions, each offering hints and explanations, to enhance your understanding and readiness for the exam!

Multiple Choice

On the CMS-1500 claim form, which block is used to enter secondary insurance information such as AARP?

Explanation:
The concept here is coordination of benefits: when there is a secondary payer, the form has a dedicated area to capture that other insurer’s information. The section labeled for Other Insured’s information is used to enter the secondary payer details, such as the policy or group number for entities like AARP. Filling this out lets the claim route to the secondary insurer after the primary payer processes it. The other areas of the form are for different data (dates of service, place of service, provider/facility details), so they aren’t used for reporting secondary insurance.

The concept here is coordination of benefits: when there is a secondary payer, the form has a dedicated area to capture that other insurer’s information. The section labeled for Other Insured’s information is used to enter the secondary payer details, such as the policy or group number for entities like AARP. Filling this out lets the claim route to the secondary insurer after the primary payer processes it. The other areas of the form are for different data (dates of service, place of service, provider/facility details), so they aren’t used for reporting secondary insurance.

Subscribe

Get the latest from Passetra

You can unsubscribe at any time. Read our privacy policy