The
billing forms (or Claim Form Types) are preset for you in the TPS2000 program.
The Claim form code refers to the template that will be used to fill out your
preprinted HCFA or other billing form.
Even if the carrier is Cash, this is the form you would use if an
insurance company was being billed.
There
are 4 form templates in "TPS!" that print on the Red HCFA paper
form. They are HCFA Work Comp/L&I
Form, HCFA Red Med 1.7 (Medicare Federal
format), HCFA Red Med WA (Medicare SPECIFICALLY for
For
the most part, you will use the HCFA General Red 1.7 for almost all carriers
(with the exception of Medicare).
The will fill out the blanks on
the Red HCFA form with the data requested by the field. In other words, if the block is titled
Insured's ID number, then that is what will print on the HCFA form from our
program. It also places the carrier’s
name and address at the top of the form.
For
a sample of the HCFA “MAP” see the following HCFA form printout. This list where each field is pulled to fill
in the HCFA General Red Format.
The
HCFA WorkComp\L&I is identical to the HCFA General Red 1.7 except it prints
the Dr's W.C./L&I number in box 33 UPIN field.
The
HCFA Red Med 1.7 is currently setup to
me the Federal Medicare Standards. What
that means specifically, is that there will be no Carrier Name or Address
printed at the top of the HCFA form. The
word NONE will print in
If, for your area,
you may have the name and address at the top of the form for Medicare (please
be sure that you check with your Medicare provider to be sure that this is OK),
let us know and we will help you add this to the form layout. However, in most states, the Federal format
is the accepted version.
Remember, if you are setting up a secondary or supplemental carrier to Medicare, the Medicare format is NOT what is needed. These will be probably use the HCFA General Red 1.7.