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OfficeMate Home Office User's Guide - OfficeMate Software Solutions

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Chapter 11 Processing Insurance Claims<br />

Processing CMS 1500 Claims<br />

<br />

Note,<br />

cont.<br />

• Box 30: Fee Slip window > Total Charges field<br />

• Box 31: Setup > Resource Setup > Provider tab ><br />

Professional Sig Box 31 text box<br />

And Setup > Insurance Setup > Plan tab > Box 31<br />

Source drop-down menu<br />

• Box 32–32B: Setup > Insurance Setup > Insurance<br />

Carrier tab > Claim Form tab > Box 32 Print Address<br />

radio button<br />

Or, Patient Center window > Demographics button ><br />

Insurance tab > Detail button > Add'l Claim<br />

Information tab > CMS Box 32 text boxes and drop-down<br />

menus<br />

To maintain location information: Setup > Location<br />

Maintenance > Select button > Qualifier (32b)<br />

drop-down menu and the Facility ID (32b) text box.<br />

• Box 33–33B: Setup > Insurance Setup > Plan tab ><br />

Claim Form tab > Box 33 Print <strong>Home</strong> <strong>Office</strong> Address<br />

radio button > Box 33 Billing Entity drop-down menu<br />

To maintain billing provider information: Setup > Resource<br />

Setup > Provider tab > Last Name (Box 33), First Name<br />

(Box 33), Middle Name (Box 33), and Phone # (Box 33)<br />

text boxes and the Business (Box 33) drop-down menu<br />

To maintain location information: Setup > Location<br />

Maintenance > Select button > Billing Name (33) and<br />

NPI Num (33a) text boxes.<br />

• If the insurance type is not Blue Cross (1A), Blue Shield (1B),<br />

Medicare (1C), Medicaid (1D), Champus (1H), or Commercial<br />

(G2), Box 33B is populated with the UPIN #: Setup ><br />

Resource Setup > Provider tab > UPIN # text box.<br />

If you are processing an ANSI insurance claim and the insurance carrier requires<br />

additional replacement information, supplemental information, or care dates,<br />

<strong><strong>Office</strong>Mate</strong> <strong>Home</strong> <strong>Office</strong> User’s <strong>Guide</strong> 441

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