Which of the following is the purpose of Block 33 on 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!

Block 33 on the CMS-1500 form is designated for providing the billing name, address, and contact information of the service provider. This block is crucial for insurance companies and other recipients of the claims to establish a direct line of communication with the provider for any queries or required clarifications regarding the billed services. Accurate information in this block ensures that claims are processed efficiently and helps in resolving any potential issues that may arise during the billing process.

The other options do not accurately describe the function of Block 33. Documenting patient insurance information pertains to a different section of the form, while the date services are rendered is recorded elsewhere. Additionally, indicating the patient's medical history is not a function of any block on the CMS-1500, but rather part of clinical documentation that impact billing indirectly.

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