Which item does not need to be sent to an insurance company on the CMS-1500 claim form?

The item that does not need to be sent to an insurance company on the CMS-1500 claim form is the history of present illness. When submitting a claim for reimbursement, the CMS-1500 form focuses on specific details that are essential for the processing of the claim. This includes diagnosis codes and procedure codes, which provide the necessary information about the patient’s condition and the services rendered, allowing the insurance company to determine coverage and payment.

The history of present illness is typically part of the clinical documentation used by healthcare providers to evaluate and manage a patient’s condition but is not required for the claim submission process itself. The insurance company relies on the diagnosis and procedure codes to make decisions regarding coverage, not the narrative details contained in the history of present illness. Therefore, while this information is vital for clinical purposes, it is not necessary for the CMS-1500 claim form.