What does Block 30 indicate on the CMS-1500 form?

What does Block 30 indicate on the CMS-1500 form?

• A. The total charge submitted.
• B. The amount left after the patient has paid a copay or coinsurance.
• C. The patient's time of service.
• D. The provider's billing code.

Answer: (B)

Block 30 shows the amount the patient still owes—the patient’s balance—after any insurer payment and after the patient’s own payment toward fixed amounts (such as a copay or coinsurance) has been accounted for. It reflects the patient liability that remains, including deductible and any non-covered charges, and is what the provider would collect from the patient. This isn’t the total charge submitted, the patient’s time of service, or the provider’s billing code.

Block 30 shows the amount the patient still owes—the patient’s balance—after any insurer payment and after the patient’s own payment toward fixed amounts (such as a copay or coinsurance) has been accounted for. It reflects the patient liability that remains, including deductible and any non-covered charges, and is what the provider would collect from the patient. This isn’t the total charge submitted, the patient’s time of service, or the provider’s billing code.