Instructions:
The following case study is for patient Amanda Chin. Complete the claim form for this patient.
Assignment:
1. Review the following documents:
Encounter Form for Amanda Chin (patient) (PDF Download)
2. Additional insurance information
3. Open and complete the following document: CMS - 1500 claim form (PDF Download).
4. Submit the completed document following these steps:
NOTE: If you do not follow these steps exactly, your form will not save the information that you have embedded into it.