The Form Type selects that method of claim submission that will be used for this patient’s claims. There are
1. Print Image – This is for electronic claims for all clearing houses OTHER than GatewayEDI
2. CMS-1500 – This is the item that designates paper claims
3. New York C4 – This is for the New York Worker’s Compensation forms, either the C4.0 for initial claims and the C4.2 for follow up claims.
4. No Print – If there is a reason to NOT produce claims for this patient, select this item
5. GatewayEDI – In the event that the practice has opted to use GatewayEDI as its clearing house and benefit from the automated functions, then this option must be selected for submission to GatewayEDI
6. iHCFA – this clearing house specializes in electronic submission of New Jersey automobile insurance claims. As this is being written, this is the ONLY clearing house that has the ability to submit electronic claims with SOAP notes.