CMS-1500 • Resources
BIC - Benefits Identification Card
DHCS - Department of Health Care Services (formerly CDHS)
CMC - Computer Media Claims
CMS - Centers for Medicare & Medicaid Services
CPT-4 - Current Procedural Terminology, Fourth Edition
EOB - Explanation of Benefits
HCFA - Health Care Financing Administration
HCPCS - Healthcare Common Procedure Coding System
HIPAA - Health Insurance Portability and Accountability Act
ICD-9-CM - International Classification of Diseases-9th Revision, Clinical Modification
NPI - National Provider Identifier
OCR - Optical Character Recognition
OHC - Other Health Coverage
SOC - Share of Cost (Spend Down Amount)
TAR - Treatment Authorization Request
- Blood Banks
- Christian Science Practitioners
- Multipurpose Senior Services Programs
11 - Office
12 - Home
21 - Inpatient Hospital
22 - Outpatient Hospital
23 - Emergency Room (Hospital)
24 - Ambulatory Surgery Clinic
25 - Birthing Center
31 - Skilled Nursing Facility (SNF)
32 - Nursing Facility (NF)
41 - Ambulance (Land)
42 - Ambulance (Air or Water)
53 - Community Mental Health Center
54 - Intermediate Care Facility – Mentally Retarded
55 - Residential Substance Abuse Treatment Facility
62 -Comprehensive Outpatient Rehabilitation Facility
65 - End Stage Renal Disease Treatment Facility
71 - State or Local Public Health Clinic
72 - Rural Health Clinic
81 - Independent Laboratory
99 - Other (if subacute care, use modifier HB to indicate adult or modifier HA to indicate child)
