9 32.1 Provider Name 10 32.2 Provider Addr1 11 32.3 Provider City 12 32A Provider NPI# 13 32B Provider Other Qualifier&ID# 14 32BQ 15 33.1 Physician Name 16 33.2 Physician Addr1 17 33.3 Physician City 18 33.4 Physician Phone 19 33A Physician NPI# 20 33B Physician Other Qualifier&ID# 1 33BQ rICH %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% Mon Dec 11, 2006 10:47 pm From: "Davison, Regina" <r Subject: [MEDITECH-L] FW: new 1500 form To: <[email protected]> From: "Davison, Regina" <[EMAIL PROTECTED]> Date: Fri, 8 Dec 2006 15:29:52 -0600 > -----Original Message----- > From: Davison, Regina > Sent: Friday, December 08, 2006 3:07 PM > To: '[EMAIL PROTECTED]' > Subject: new 1500 form > > I'm trying to create a new 1500 form with the new program that Meditech has > given us. Can someone out there confirm for me what actually goes in fo rm locator 32a, 32b, 33a and 33b? I called Meditech and they said they do not have the specs for the new form. If any of you have created a new 1500 form and have been successful, I would be interested to find out what goes in these 4 fields and what claim check you use to get that data to the cla im form. > > Regina Davison > Interim Director Information Systems > Financial Systems Specialist > Murray-Calloway County Hospital > Phone: 270 762 1273 > > [EMAIL PROTECTED] > Visit us on the web at <http://www.murrayhospital.org> NOTICE: This message originates from Murray-Calloway County Hospital (MCCH) and contains information that may be confidential or privileged and is int ended only for the individuals or the entity named above. It is prohibited for anyone else to disclose, copy, distribute or use the contents of this m essage. This message may not be copied or distributed without this disclaimer. All personal messages express views solely of the sender, which are not to be attributed to MCCH. If you received this message in error, please notify us immediately at [EMAIL PROTECTED] ====================================== All messages should be posted in plain text. HTML will be converted to attachments. The meditech-l web site is MTUsers.com ______________________________________ meditech-l mailing list [email protected] http://mtusers.com/mailman/listinfo/meditech-l -------------------------------------------------------------------------------- Return-Path: <"Davison, Regina" <[EMAIL PROTECTED]>> Received: from southcoast.org by SLH.ORG; Mon, 11 Dec 2006 22:47:35 0000 Received: from smtp1.slh.southcoast.org (unverified [10.0.0.48]) by southcoast.org (Rockliffe SMTPRA 6.1.17) with SMTP id <[EMAIL PROTECTED]> for <[EMAIL PROTECTED]>; Mon, 11 Dec 2006 22:45:21 -0500 Received: from prosonic.com ([204.202.252.254]) by smtp1.slh.southcoast.org (SAVSMTP 3.1.6.45) with SMTP id M2006121122452008873 for <[EMAIL PROTECTED]>; Mon, 11 Dec 2006 22:45:20 -0500 Received: from prosonic.iserver.net (localhost [127.0.0.1]) by prosonic.com (8.13.6.20060614/8.13.1) with ESMTP id kBC3dw3a071012; Tue, 12 Dec 2006 03:40:51 GMT Received: from mail.murrayhospital.org (mcchmail.murrayhospital.org [72.14.100.75]) by prosonic.com (8.13.6.20060614/8.13.1) with ESMTP id kB8LTrhc065667 for <[email protected]>; Fri, 8 Dec 2006 21:29:54 GMT Received: from mail pickup service by mail.murrayhospital.org with Microsoft SMTPSVC; Fri, 8 Dec 2006 15:29:53 -0600 X-MimeOLE: Produced By Microsoft MimeOLE V6.00.3790.2663 Content-Class: urn:content-classes:message MIME-Version: 1.0 Content-Type: text/plain; charset="iso-8859-1" Date: Fri, 8 Dec 2006 15:29:52 -0600 Message-ID: <[EMAIL PROTECTED]> X-MS-Has-Attach: X-MS-TNEF-Correlator: Thread-Topic: new 1500 form thread-index: AccbDLtyk8u+HoSYT+OXuzC8x/DjygAAzJBw From: "Davison, Regina" <[EMAIL PROTECTED]> To: <[email protected]> X-OriginalArrivalTime: 08 Dec 2006 21:29:53.0678 (UTC) FILETIME=[000012E0:01C71B10] Content-Transfer-Encoding: 8bit X-MIME-Autoconverted: from quoted-printable to 8bit by prosonic.com id kB8LTrhc065667 X-Mailman-Approved-At: Sun, 10 Dec 2006 15:00:28 +0000 Cc: Subject: [MEDITECH-L] FW: new 1500 form X-BeenThere: [email protected] X-Mailman-Version: 2.1.5 Precedence: list List-Id: Email list for Meditech users <meditech-l.MTUsers.com> List-Unsubscribe: <http://mtusers.com/mailman/listinfo/meditech-l>, <mailto:[EMAIL PROTECTED]> List-Post: <mailto:[email protected]> List-Help: <mailto:[EMAIL PROTECTED]> List-Subscribe: <http://mtusers.com/mailman/listinfo/meditech-l>, <mailto:[EMAIL PROTECTED]> Sender: [email protected] Errors-To: [EMAIL PROTECTED] %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%
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