Hcfa 1500 --- providers ub04 --- hospitals and other medical facilities
24D on he HCFA-1500 form (08/05)
AnswerIt was the HCFA-1500, now I think its called the CMS-1500. Same form though.
All information relevant on a HCFA (HealthClaimForm 1500).Standard form, all providers use.
Definition: The standard claim format used by health plans on which to consider payment to the medical provider.
The HCFA 1500 is the official standard form used when submitting bills or claims for reimbursements to Medicare or Medicaid for health service. This form is also used by physicians, private insurers, and managed care plans.
Health care Financing Administration
I didn't find the exact definition but this site gives you a pretty good start http://www.cms.hhs.gov/data/betos/default.asp The HCFA is now CMS It appears VERY important. The different types of service on a 1500 help determine the rate in which the provider is reimbursed. It can be a in-patient hospital visit, clinic visit, out-patient services, etc... When billing on a 1500 claim form, this information is required or your claim will be denied...
Paper medical bills are referred to as HCFA-1500 forms, however Medicare no longer accepts paper bills from providers, all billing must be submitted via electronic claim form. If you are asking this question as the patient, your provider should be the one submitting the bill for reimbursement from Medicare.
1500 as a fraction in decimal form is simply 1500.
Show me how to print a form 1040A
www.irs.gov has form 5695 for print.