What is required for Medicaid claim submission?

For Medicaid claim submission, having the insurance card and the CMS 1500 form is essential. The insurance card provides the necessary information about the Medicaid recipient, such as their Medicaid number and relevant patient identification details, which verifies their eligibility for Medicaid services. The CMS 1500 form, on the other hand, is the standard claim form used to bill Medicaid for professional services. It captures specific details about the medical services provided, the physician’s information, and the patient’s diagnosis.

The other options listed do not directly relate to the claim submission process for Medicaid. While proof of income documentation may be required during the application for Medicaid eligibility, it is not necessary at the point of claim submission. A detailed medical history might be useful for medical assessments but isn't required for the billing process itself. Similarly, emergency contact details, while important for patient records and communications, do not play a role in the claims submission process.