Tips for Filling up HCFA Form

Medical claims have increased significantly over the years and using the correct form plays a vital role especially when you’re claiming for medical care. The hcfa form is a standard paper claim form used by non institutional healthcare provider or suppliers to bill Medicare carriers or administrative contractors. This form should be used by the provider only if he qualifies for a waiver as per the ASCA requirements of electronic claim forms submission. Understanding the claim form and filling it up can sometimes be difficult and hence this article provides you with some basic information which can assist you in filling it up.

On the upper left hand corner of the claim form spaces are provided for name and address of your supplemental insurance company. Once you receive the Explanation of Medicare Benefits papers these should be supplemented with the original claim form. All these papers must be mailed to the name and address provided on the upper left hand side corner of the form. Check the identification number of the insured person and if this number differs from your records you must contact the healthcare department for assistance. The insured person’s policy number is also provided in this form.

Prior to the submission of this form it is important to verify whether it is correct. In case you notice that this place is blank and you have your own policy group number then you can provide it in this particular box. While filling up the form you will come across a phrase which says “Signature on File” the implication of this particular phrase is that you are giving the healthcare department an authorization to release medical information which is necessary in processing the claim. A similar phrase can be noticed on the side of it which authorizes payment of medical benefits to the healthcare department.

In case you are hospitalized previously then you must provide the dates of hospitalization. Prior submitting the form it is essential to verify that the healthcare department has processed all charges and in order to do that you have to compare the dates of service, description of service and the relevant service charges with each line on your Explanation of Medicare Benefits papers.

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For more information on hcfa form, check out the info available online; these will help you learn to find the hcfa!

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