Knowledgebase: How to Fill Out The CMS-1500 Form > The CMS-1500 Form - Fields 1–13: Patient and Insured Information
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Field 9 c - Reserved for NUCC Use (NOTE: Medicare uses this field)
Posted by Dan Perrine, Last modified by Dan Perrine on 28 March 2018 06:52 AM
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Field 9c is reserved for NUCC use. Leave blank. MEDICARE - Leave blank if item 9d is completed. Otherwise, enter the claims processing address of the Medigap insurer. Use an abbreviated street address, two-letter postal code, and ZIP code copied from the Medigap insured's Medigap identification card. For example: | |
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