TOPS UB-04 Continuous Hospital Insurance Claim Form, 1 Part, 9.5 x 11 Inches, Removable Margins, 2500 Sheets per Carton, White (59770R)

hello medical billing and coding students my name is Miss Brighton today we're going to be going over how to fill out a CMS 1500 form in cengage mindtap now these assignments are extremely picky so that's why we're going to go through one today just so you can see what they're looking for all right now you're going to be going back and forth between the case study and the actual form I recommend downloading this and having it open on a different screen or having it side-by-side with your just so that it doesn't take up your entire spring so I'm gonna hide that for a second and we're gonna take a look at the actual CMS 1504 we're gonna start on the top right this is going to be the address where you're going to mail the insurance claim to this is to the insurance company because once we fill this whole form out and we fold it and we shove it in an envelope this address is going to peek t