Superbill (CMS-1500)

System Healthcare Documents
About

Superbill or CMS-1500 form

Datapoints 10 fields
Label Key Type Required Featured
Patient DOB patient_dob date
Insurance ID insurance_id string
Provider Name provider_name string
Provider NPI provider_npi string
Service Date service_date date
Diagnosis Codes diagnosis_codes text
Procedure Codes procedure_codes text
Total Charges total_charges currency
Place of Service place_of_service string
Patient Name patient_name string
Documents 0 documents

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Details
Scope: System
Category: Healthcare Documents
Slug: superbill-cms-1500
Icon: file-waveform
Color: pink

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