What kind of claim is used for billing provider fee-for-service claims to commercial health insurance companies?

The CMS-1500 form is specifically designed for billing provider fee-for-service claims to commercial health insurance companies. This form is widely used by healthcare providers to submit claims for services rendered to patients covered by commercial insurance plans.

The structure of the CMS-1500 allows providers to report details such as patient information, services provided, and diagnoses in a clear and standardized format that insurance companies can easily process. This streamlined approach not only facilitates quicker claim processing but also helps in reducing errors that can lead to claim denials or delays.

Other forms listed have different purposes: the UB-04 is used primarily for institutional providers, such as hospitals and skilled nursing facilities, to bill for services. The ANSI ASC X12N is a standard for electronic data interchange, not a claim form itself, so it doesn't apply directly to paper claims. The CMS-1450 is an older term often used interchangeably with UB-04 but is primarily focused on institutional services. Therefore, the CMS-1500 is the correct choice for individual provider services billed to commercial health insurance companies.