What should be entered in Block 17 A?

Study for the Health Insurance Claim (CMS‑1500) Form Test. Improve your understanding with multiple choice questions, hints, and explanations. Get prepared for your exam!

Block 17 A of the CMS-1500 form is designated for the referring physician’s NPI (National Provider Identifier) number when applicable. However, if there is no referring physician for the services rendered, Block 17 A should be left blank.

Leaving this block unfilled is appropriate when the patient's care does not involve a referring physician, which is sometimes the case, especially in certain direct-access situations or when the patient is visiting a specialist without a prior referral. Understanding when to leave this block blank is crucial to ensure that the claim is processed correctly and doesn't face delays due to unnecessary information being submitted.

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