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How to Print a Paper Claim (CMS 1500 or UB-04)

1. From the Billing tab, go to Edit Claims
2. Pick your Practice Location
3. From the Search dropdown, search for you claim either by: Patient, payor, date range and /or claim number, click Ok
4. Click on the line with the desired claim / date of service
5. You are defaulted to the Claim Info sub-tab (If you are accessing from Patient Chart -> Charges screen, the "Charge Codes" sub-tab is the default screen)
6. At the bottom, the 2nd button from the right is labeled "Print Paper Claim"
7. Once you click that you will get a pop up that says “Do you want to print this on a
HCFA1500 form?” 

NOTE: If the Payor on the claim has a format set from Payor Entry as 837I then a UB-04 formatted paper claim will print. 
8. If you say Yes, then it will show you a blank sheet of paper with the information
formatted for the corresponding boxes. This is meant to be used while feeding the actual red ink HCFA form into the printer to be mailed.
9. If you say No, then it will show you a preview with the boxes/lines.
10. Then print your form.

  • 164
  • 24-May-2022
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