What is the primary purpose of Box 28 on the CMS-1500?

The primary purpose of Box 28 on the CMS-1500 form is to summarize all professional charges for services rendered. This box is designed to provide insurance companies with a clear and concise total of the charges being billed, allowing for streamlined processing of claims. By consolidating the professional charges into one section, it facilitates a better understanding of the overall cost associated with the patient's treatment, which is crucial for the adjudication process.

Including this total charge in Box 28 helps insurers quickly assess the extent of the medical services provided without having to sift through multiple line items, making the claims review process more efficient. The accurate reporting of total charges is essential for determining whether the services rendered are eligible for coverage and ensuring that healthcare providers are reimbursed appropriately for their services.