HEALTH INSURANCE CLAIM

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Shared by: MikeCallan
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STATE OF COLORADO DEPARTMENT OF HEALTH CARE POLICY AND INVOICE/PAT ACCT NUMBER HEALTH INSURANCE CLAIM PATIENT AND INSURED (SUBSCRIBER) INFORMATION 1. CLIENT NAME (LAST, FIRST, MIDDLE INITIAL) 2. CLIENT DATE OF BIRTH 3. MEDICAID ID NUMBER (CLIENT ID NUMBER) SPECIAL PROGRAM CODE 4. CLIENT ADDRESS (STREET, CITY, STATE, ZIP CODE) 5. CLIENT SEX MALE FEMALE 6. MEDICARE ID NUMBER (HIC OR SSN) 7. CLIENT RELATIONSHIP TO INSURED SELF SPOUSE CHILD OTHER 8. CLIENT IS COVERED BY EMPLOYER HEALTH PLAN AS EMPLOYEE OR DEPENDENT TELEPHONE NUMBER 9. OTHER HEALTH INSURANCE COVERAGE — INSURANCE COMPANY NAME, ADDRESS, PLAN NAME, AND POLICY NUMBER(S) EMPLOYER NAME: 10. WAS CONDITION RELATED TO: A. CLIENT EMPLOYMENT YES TELEPHONE NUMBER 9A. POLICYHOLDER NAME AND ADDRESS (STREET, CITY, STATE, ZIP CODE) B. ACCIDENT AUTO C. DATE OF ACCIDENT OTHER POLICYHOLDER NAME: GROUP 11. CHAMPUS SPONSORS SERVICE/SSN TELEPHONE NUMBER 12. PREGNANCY HMO NURSING FACILITY PHYSICIAN OR SUPPLIER INFORMATION 13. DATE OF: ILLNESS (FIRST SYMPTON) OR INJURY (ACCIDENT) OR FIRST PREGNANCY (LMP) 14. MEDICARE DENIAL BENEFITS EXHAUSTED 14A. OTHER COVERAGE DENIED NON-COVERED SERVICES PROVIDER NUMBER NO YES PAY/DENY DATE: 15. NAME OF SUPERVISING PHYSICIAN 16. FOR SERVICES RELATED TO HOSPITALIZATION, GIVE HOSPITALIZATION DATES ADMITTED: 17. NAME AND ADDRESS OF FACILITY WHERE SERVICES WERE RENDERED (IF OTHER THAN HOME OR OFFICE) 18. ICD-9-CM 1. 2. 3. 4. 19A DATE OF SERVICE FROM TO B. PLACE OF SERVICE C. PROCEDURE CODE (HCPCS) MOD D. RENDERING PROVIDER NUMBER PROVIDER NUMBER 17A. CHECK BOX IF LABORATORY WORK WAS PERFORMED OUTSIDE THE PHYSICIANS OFFICE YES TRANSPORTATION CERTIFICATION ATTACHED YES DURABLE MEDICAL EQUIPMENT Line # Make Model Serial Number DIAGNOSIS OR NATURE OF ILLNESS OR INJURY. IN COLUMN F, RELATE DIAGNOSIS TO PROCEDURE BY REFERENCE NUMBERS 1, 2, 3, OR 4 PRIOR AUTHORIZATION #: E. REFERRING PROVIDER NUMBER F. DIAGNOSIS P S T G. CHARGES H. DAYS OR UNITS I. COPAY J. K. L. EMERG FAMILY PLANNIN ENCY EPSDT G 20. TOTAL CHARGES LESS MEDICARE EOMB DATE 27. SIGNATURE (SUBJECT TO CERTIFICATION ON REVERSE) DATE 30. REMARKS 21. MEDICARE PAID 24. MEDICARE DEDUCTIBLE 28. BILLING PROVIDER NAME 22. THIRD PARTY PAID 25. MEDICARE COINSURANCE MEDICARE DISALLOWED 29. BILLING PROVIDER NUMBER 23. NET CHARGE 26. COL-101 FORM NO. 94320 (REV. 02/99) COLORADO 1500

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