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The parent with the birthday First in the year will be the Primary Insurance Carrier
The parent with the birthday Last in the year is the Secondary Insurance Carrier
The address for the insurance carrier can be found in Medisoft, in the insurance handbook, or you may ask Donna
Group Insurance Number equals Group insurance Type
If the parent is the insured and the patient lives in the same househould Box 7 can say SAME
Always use the two digit month, two digit day and four digit year
No puncuations may be used even if it used tradionally in the name of the business
No Dashes are used in the telephone the dash is represented with the space
Verify the sex of the patient or insured before you mark the box this can be an easy way to get denied
Box 12 representes the signature of the Patient
Box 13 represents the siganture of the Insured
Your last name must be placed here. Your claim will be Denied if your last Name is not here
You will not always be given these numbers you may have to look these up in your ICD-9 Manual
These numbers may not always be given either, you may have to look these up in your Current Procedural Terminology Handbook
The patient account number is not the patient record number
Box 32 will always be empty if box 24B is 11 or 12