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Last 10 Posts (In reverse order)
courtneydsnow Posted: Thursday, December 2, 2021 10:42:20 AM(UTC)
 
Hi Jill T!

Here is a link to the NUCC's CMS1500 claim form instructions:
https://nucc.org/images/stories/PDF/1500_claim_form_instruction_manual_2021_07-v9.pdf


Page 23 supplies the details for field 14, and the details for field 15 are found on page 24.

Based on these instructions, it looks like it may be:

Field 14:
qualifier 431 with date of accident/injury (8/11/2021)

Field 15:
qualifier 439 with date of accident (8/11/2021)


Also be sure to complete field 10 for the accident as well!

Hope this helps!
Guest Posted: Tuesday, November 30, 2021 4:32:47 PM(UTC)
 
Hello!

When seeing patients for dental care after an accident I have always used box 14 on to list the accident date, whether it was the date for actual services or not. I never used a qualifier. I have never used box 15.

In this particular instance, patient had accident on 8/11/2021 (date in box 14) and seen us the next day 8/12/2021 which is listed box 24A.

BCBS returned claim w/ the following information:

Box 15 requires a qualifier of 439 and date when account is indicated
Box 14 contains date/qualifier is blank/invalid or illegible

I'd think Box 14 remains the same of accident date w/ qualifier 431 (onset of current symptoms/illness/injury occurred) and box 15 would list 8/12/2021 then w/ qualifier 454 - initial treatment... but this is still wrong w/ them requiring qualifier 439 as stated above for box 15.

Can you help straighten me out?

I've never been asked for this info before.

Thanks so much!

Jill T.