What should be included in box 7 of the CMS-1500 form?

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!

In box 7 of the CMS-1500 form, the correct information to include is the insured's name. This box specifically requires the name of the person who carries the insurance policy and is responsible for payment of claims. Including the insured's name ensures that the insurance company can correctly match the claim to the appropriate policy, facilitating timely processing and payment. Accurate information in this section is crucial for proper identification of the insured individual and prevents delays in claim handling.

Including information such as the patient's medical record number would be more appropriate in box 22 under the patient’s information section, while the service provider's address could be noted in other relevant areas like box 33. The billing amount, which is essential for claims processing, is typically noted in box 24, where services are itemized. Thus, only the insured's name properly belongs in box 7.

Subscribe

Get the latest from Examzify

You can unsubscribe at any time. Read our privacy policy