What Is a Medical Encounter Form?

A medical encounter form is a form used by medical professionals as a uniform way to bill patients. All insurance companies require a scanned medical encounter form in order to release payment.

These forms may look different depending on the medical professional a person visits. However, they are required to have 13 different fields on them, including patient name, patient medical record number, date of birth, date of service, place of service, CPT-4 procedural code and description of service, modifier information, resident involvement, diagnosis code, billing instruction, space for documenting the special billing instruction, provider name and provider signature, and date.

History

The History of Independence Day in the U.S.

World View

This Year We’re Skipping the Fireworks, and Other 4th of July Safety Tips

History

Why Was the Declaration of Independence Written?

History

58 Years Later: What Was the Civil Rights Act of 1964?

History

Facts About the Louisiana Purchase That Might Surprise You

History

Celebrating Disability Pride Month and the History of the ADA