The standard claim format used by health plans on which to consider payment to the medical provider.


The medical provider submits bills using a HCFA (Health Care Finance Administration) claim form. The information on this form includes, date of service, CPT code, ICD-9 code, amount charged, patient name, medical provider name, and other pertinent information on which to consider payment.

Want to learn more? Schedule a Consultation

Get started and schedule a no cost consultation with the Business Benefits Team to learn how your business can better manage your employee benefits.