Wiki Box 14-qual

[marina@medibright.com]

Lcsw has a problem submitting to empire blue cross, box 14, what is the qual for box 14?
Thanks

 

[mitchellde]

Are you referring to the 1500 Claim?

 

[marina@medibright.com]

Yes, new CMS-1500-02/12W/FORM

 

[mitchellde]

Field 14 is the date of current illness or injury field, it needs one of two qualifiers,
431 for date of current symptoms or illness
484 for date of last menstrual period

 

[marina@medibright.com]

Thank you very much!!!