thedubking1000
thedubking1000 thedubking1000
  • 07-10-2021
  • Medicine
contestada

What information is entered into Block 4 on the CMS-1500 claim for a workers' compensation case?

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ThatOneHuman
ThatOneHuman ThatOneHuman
  • 08-10-2021

Answer:

Enter the insured's address and telephone number. If Block 4 is completed, this field should be completed. The first line is for the street address; the second line is for the city and state; the third line is for the zip code and phone number.

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