Need aid satisfying out robustness insurance claims forms for institution?

I'm currently attending a class about Medical Office Procedures, but my teacher sucks. She give us 5 weeks to finish all the assignments and she doesn't help us unless we're surrounded by class. I have a total of 87 assignments and I'm currently stuck on the health insurance forms. The nouns to the left of the form, 1a. - 13a, has me confused.

Anyone near claims experience that can help?
Answers:
Hi there, I am a medical biller and I do claims adjectives day long. I can help you next to this but you have to tell me what form your using. UB04 or Claim 1500? later I can answer yoy better.

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