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CMS-1500 Health Care Provider Q&A
Pre-Webinar Survey

To help us better prepare for the CMS-1500 Provider Q&A webinar, please share your questions.
1.I have questions regarding the following CMS-1500 topics (check all that apply)(Required.)
2.If you have questions about filling out out the CMS-1500 form, please share them in the spaces below.
3.If you have questions about the Medical Narrative Report Template and requirements, please share them in the spaces below.
4.If you have questions about registering for electronic submission, please share them in the spaces below.
5.If you have questions about current forms being discontinued, please share them in the spaces below.
6.If you have questions about CMS-1500 implementation dates, please share them in the spaces below.
7.If you have questions about payer objections to your bill, please share them in the spaces below.
8.If you have questions about how and when to file a dispute for non-payment of a bill, please share them in the spaces below.
9.If you have questions on other topics related to the CMS-1500 transition, please share them in the spaces below.