Change CMS-1500 Settings

The CMS-1500 tab is used to format Professional Claims for Physical Therapists in Independent Practice (PTIPs). Most payers follow standard settings, such as National Provider Identifier (NPI), for CMS-1500 and UB-04 settings. However, there are some payers who require legacy identifiers (such as Unique Physician Identification Numbers (UPINs) and payer-specific provider numbers) as well as other non-standard settings. Understanding your credentialing status and specific payer requirements is crucial in setting up billing forms correctly. Most payers provide instructions on their website and their claims representatives should be able to provide the proper settings for both paper and electronic requirements.

CMS-1500 tab

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