...
The default CMS 1500 form does not pull this information in automatically. Offices may choose to write this in by hand, or update their CMS Form Reference to a custom Form that allows you to type this information in when generating a claim. This Custom CMS 1500 with resubmission fields is attached to the bottom of this article for your use.included here:
| View file | ||
|---|---|---|
|
This Custom form pulls in the Resubmission Code and Resubmission Reference fields from the Claim Creation Window, on the far right of the claim creation table as shown in the below screenshot.
...