Match Block 21 with the Appropriate Content as It Relates

Multiple Choice

Match block 21 with the appropriate content as it relates to completing the CMS-1500 form. (Select all that apply.)

A) National provider identification number
B) Preauthorization number
C) Date of current illness, injury, or pregnancy
D) Diagnosis or nature of illness or injury
E) Name of referring provider
F) Hospitalization dates related to current services