HOW TO ENTER ATTORNEY DATA

This screen shows all details for any attorneys with whom your patients work.

Title, First, Last Name: Enter the name of the attorney here.

Company Name: Enter the Name of the Company for this attorney. If there is no “company name”, you might want to consider entering “Attorney at Law” in this field.

Address: This area and the City, State, Zip, Phone and Fax fields which follow are the basic contact information for this attorney.

Contact: If there is another contact (i.e. a paralegal or client advocate) for this attorney, enter that name in this field.

Form Code: Form template on which they would bill. Normally, this should be set to HCFA General Red 1.7. NOTE: This does not hinder your use of the Attorney Itemized Statement, this will be used ONLY if the Attorney is billed in a carrier bill batch.