Curious about what a Medical Claim is or looks like?

Medical claims are a printed or electronic document that contains information from a Medical provider, about a patient, regarding the visit or treatment.

The claim is usually printed on a CMS 1500 insurance claim form like the following:

 

Medical billing claim form

Medical billing claim form

 

The doctors office usually completes the insurance claim form for the patients and prints and mails it or sends it electronically to the insurance company.  Some medical offices do not submit this form, but instead print a basic “receipt” that has the doctors name and office address; and a list of CPT procedure codes they are billing for, and the associated Diagnosis codes assigned to the patient and the patient must file this with thier insurance company.

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