A standardized document used by healthcare providers and suppliers to bill medical insurance companies for services rendered. It is a paper-based version, designed for completion and submission by mail or fax, offering a tangible alternative to electronic claims submission. This document is recognizable by its specific layout and data fields, each designated for particular pieces of patient or service information.
This hard-copy claim format provides crucial accessibility, especially for smaller practices or in situations where electronic systems are unavailable. Its continued availability ensures claims can still be processed, maintaining revenue flow for healthcare providers and enabling patients to receive covered services. The form has a long-standing presence in the healthcare industry, serving as a familiar and reliable method for claims submission even as digital solutions become more prevalent.
The following sections will detail where to obtain this document, how to properly complete each section, and common errors that can lead to claim rejections, alongside resources and support available for those using this method.
