Processing an Insurance Claim

Supporting Lectures: Review the following lecture: Processing an Insurance Claim Introduction: While it is true that the CMS-1500 claim form may not be used for private-pay patients, this form will be required for all claims when the patient is covered by any form of insurance to recover payment for services. Working knowledge of the CMS-1500 is essential for all persons working in the revenue and billing area of healthcare. Tasks: Using the CMS-1500 form, fill out the form for a non-Hodgkin’s lymphoma (page 183 of text) and a radiological Oncology treatment (page 278 of text). For assistance with completing and saving a PDF document, please click here  Use patient information found on EOB Figure 4-17 of text (page 90). Describe the process of submitting this claim form through a third-party administrator. Submission Details: • Submit both the completed claim form and a 1- to 2-page reflection on the process as a Microsoft Word document. Use APA standards for citations and references. • Cite a minimum of three outside peer-reviewed sources to support your assertions