Which of the following forms is used to submit health insurance claims for a provider's office?

Prepare for the NHA Medical Administrative Assistant Certification Exam. Use flashcards and multiple choice questions, each with hints and explanations. Get exam-ready today!

The CMS-1500 form is the standard form used to submit health insurance claims for services provided by healthcare professionals, such as physicians and outpatient services. This form is essential for billing Medicare, Medicaid, and various private insurance companies.

It captures a wide range of information necessary for processing claims, including patient demographics, insurance information, and details about the medical services rendered. The use of CMS-1500 ensures that providers can properly bill for their services and receive reimbursement in a timely manner.

In contrast, the UB-04 form is typically used by institutional providers, such as hospitals, for billing inpatient and outpatient services. The DE 2501 form is a California disability claim form, not relevant to health insurance claims for providers. The CSM-1490S does not pertain to standard medical billing and is not a recognized form for submitting health insurance claims. Thus, the CMS-1500 is the appropriate choice for providers in this context.

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