What is included in section 3 of the 837P/CMS-1500 form?

Section 3 of the 837P/CMS-1500 form is specifically designated for physician or supplier information. This section captures essential details about the healthcare provider who is rendering the services, such as their name, address, and National Provider Identifier (NPI). This information is crucial for identifying the provider and facilitating the reimbursement process from insurance companies for the services rendered to the patient.

In addition to the provider's information, other sections of the form contain different types of information. For instance, patient and insured information is typically found in a different section, which helps to identify the individual receiving care and the insurance coverage they hold. Procedure codes and diagnostic codes belong to other sections as well, which detail the specific services rendered and the diagnoses associated with those services, respectively. Since Section 3 is entirely focused on the provider's credentialing and identification, it is important for the claims process and ensuring that payment is directed to the correct entity.