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What if I am not sure what to put in boxes 11, 11b, and 11c on the CMS 1500 claim form?

April 26, 2017boxes claim form sure

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What if I am not sure what to put in boxes 11, 11b, and 11c on the CMS 1500 claim form?

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Use your HNS Fax Inquiry Form and fax a clear, legible copy of the front and back of the insurance card to HNS and we will respond with the information you need to complete these boxes. For a MedCost member’s claim, refer to the MedCost Physician Reference Guide for this information.