Question

List the five major sections on a standard claim form.

Answer 1

The five major sections on a standard claim form are the identification, diagnosis, treatment, service, and billing sections.

Step-by-step explanation:

1. Identification section: Includes the patient's personal information, such as name, address, and insurance details.
2. Diagnosis section: Provides information about the patient's condition or illness.
3. Treatment section: Outlines the specific treatment plan, including medications, procedures, and therapies.
4. Service section: Details the services provided by healthcare professionals, such as doctors, nurses, or specialists.
5. Billing section: Includes information about the costs associated with the treatment and how the claim will be reimbursed.

Answer 2

(1) provider information; (2) subscriber information; (3) payer information; (4) claim information; and (5) service line information. HIPAA-mandated electronic transaction for claims.