For billing purposes, Connect and Coach enables you to prepare a CMS-1500 form.
The Patient Information screen opens.
The1500 Claim Form screen opens.
A 1500 Health Insurance Claim Form is generated in PDF format. For billable sessions, Connect and Coach automatically populates the following:
- 24D — The CPT code associated with the sub-session (sub-session and CPT code are defined by the administrator)
- 24 F – The unit for that sub-session (sub-session and unit are defined by the administrator). IMPORTANT: The total number of units is entered when you create the class and this task can be completed by an Admin or Educator when the class session is created (see screenshot below).
- 24 G – The price for the sub-session (price per unit is defined by the administrator)
Sample screenshot showing where to indicate the number of units for a visit:
This document can be printed and faxed or uploaded to a clearinghouse to the insurer in accordance with your policies and procedures.
A sample completed CMS-1500 form is shown below.