Instructions:

The following case study is for patient Ross Parker.  See if you can complete this Medicaid claim form for this patient.

Assignment: 

1. Review the following documents: 

2. Open and complete the following document: CMS - 1500 claim formView in a new window (PDF).

3. If  you have questions, contact your Content Expert and have a conversation.  Save it to your desktop so you can refer to it if you have questions.  

NOTE: If you do not follow these steps exactly, your form will not save the information that you have embedded into it.