OfficeMate Home Office User's Guide - OfficeMate Software Solutions

Processing CMS 1500 Claims
Chapter 11 Processing Insurance Claims
Note,
cont.
• Box 17A: Setup > Resource Setup > Referring Dr tab >
Qualifier (Box 17a) and Other (Box 17a) text boxes
• Box 17B: Setup > Resource Setup > Referring Dr tab >
NPI Number (Box 17b) text box
• Box 18: Edit directly on the CMS 1500 form.
• Box 19: Fee Slip window > Line Add'l Data button >
Note Reference drop-down menu and Item Narrative text
box.
• Box 20: Edit directly on the CMS 1500 form.
• Box 21: Diagnosis code in the ICD-9 field on the Fee Slip
window
• Box 22: Edit directly on the CMS 1500 form.
• Box 23: Patient Center window > Demographics
button > Insurance tab > Detail button > Eligibility tab >
Authorization ID text box
CMS 1500 form boxes 24A–24J are divided horizontally to
accommodate the submission of both the NPI number and
another/proprietary identifier during the NPI transition and to
accommodate the submission of supplemental information to
support the billed service. The top area of the six service lines is
shaded and is the location for reporting supplemental information;
it is not intended to allow for the billing of 12 lines of service.
• Box 24A: Fee Slip window > Date
Or, Fee Slip window > Line Add'l Data button > Service
Date text boxes
• Box 24B: All Medicare jurisdiction type claims must have box
24b on the CMS 1500 populate with 12. In order to populate
box 24b with 12 at the proper time, the place of service is
determined in the following order:
a. Patient level place of service (if entered in the insurance
information in the Patient Demographic window)
b. Insurance plan level place of service (if entered in the
Plan tab of the Insurance Setup window)
If 12 is entered, CMS 1500 boxes 32, 32a, and 32b
are blank
If 11 is entered, no changes are made to boxes 32,
32a, or 32b
c. Product level place of service (if entered in the
Products & Services window)
• Box 24C: Products & Services window > Product tab >
EMG text box
438 OfficeMate Home Office User’s Guide