HCFA-1500 Claim Settings


Axxess Hospice now enables users to enter and adjust settings for HCFA-1500 claims. To manage HCFA-1500 claim settings, users must have permission to view and edit insurances/payers and authorizations.

Insurance/Payer & Authorization Permissions


To give a user permission to manage HCFA-1500 claim settings, edit the user’s profile and navigate to the Permissions tab. In the Administration section, select View and Edit next to Insurance/Payer & Authorizations. Click Save to finish granting the permissions to the user.


People tab ➜ People Center ➜ Edit ➜ Permissions tab ➜ Administration section ➜ Insurance/Payer & Authorizations ➜ View/Edit ➜ Save


Once access has been granted, the user can navigate to Insurances/Payers under the lists menu.


On the Insurance/Payer screen, click Edit under Actions to edit a payer. This feature will be available when the payer’s bill type is set to professional (CMS-1500).


When editing the payer, navigate to the Billing Information tab to view the HCFA-1500 Form Settings section.

Patient or Authorized Person’s Signature


In the HCFA-1500 Form Settings section, there is a field labeled Patient or Authorized Person’s Signature. This field indicates that there is an authorization on file for the release of any medical or other information necessary to process and/or adjudicate the claim.


The Patient or Authorized Person’s Signature section will also enable users to select additional information shown on the claim related to this setting.


Signature: Users can select Signature on File or Other

 

Date: Admit Date or Billed Date

 

When this information has been saved for the payer, it will appear in the Locator 12 field on the HCFA-1500 claim.


Insured’s or Authorized Person’s Signature


In the HCFA-1500 Form Settings section, there is a field labeled Insured’s or Authorized Person’s Signature for Locator 13. This field indicates that there is a signature on file authorizing payment for medical benefits.


This feature also enables users to select additional information shown on the claim related to this setting.


Signature: Users can select Signature on File or Other

 

Date: Admit Date or Billed Date

 

When this information has been saved for the payer, it will appear in the Locator 13 field on the HCFA-1500 claim.


Signature of Physician or Supplier


In the HCFA-1500 Form Settings section, there is a field labeled Signature of the Physician or Supplier for Locator 31. This field refers to the authorized accountable person and the degree, credentials and title of the individual.


This feature also enables users to select additional information shown on the claim related to this setting.


Signature: Users can select Signature on File or Other

 

Date: Admit Date or Billed Date

 

When this information has been saved for the payer, it will appear in the Locator 31 field on the HCFA-1500 claim.


Updated on 06/30/2021