What kind of information is filled in box 17 of the CMS-1500 form?

• A. The date of the last treatment
• B. The name of the referring provider
• C. The patient's emergency contact
• D. The total charges incurred

Answer: (B)

Box 17 of the CMS-1500 form is designated for the name of the referring provider. This section is used when a provider has sent the patient to another healthcare professional for treatment or services. Including the referring provider's name is important for billing and insurance purposes, as it helps the insurance company understand the context of the services rendered and ensures that the provider who referred the patient is acknowledged in the claim.

This practice allows for communication regarding the patient's care and facilitates proper coordination of services among providers involved in the patient’s treatment. Accurate information in this box can also assist in verifying referrals and determining any necessary authorization for the services billed.