It is very important to ensure the information is accuracy and exactness when you are filling the health insurance claim form 1500. What's more, to ensure the completeness of the form, it is also important to make sure that all fields are duly filled. Considering the novelty and diversity of the CMS 1500, filling out such a form can be quite daunting, especially for those who are not familiar with the field. The following tips will help you fill out CMS 1500 successfully and accurately:
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Always use Pica or Arial fonts to fill out these forms. The font size is between 10 and 12.
FREE HCFA/CMS 1500 FORM TEMPLATE for medical claims in fillable format: The CMS HCFA-1500 form is the standard paper claim form used by a non-institutional provider or supplier to bill Medicare carriers and Medicare administrative contractors (MACs) when a provider qualifies for a waiver from the Administrative Simplification Compliance Act (ASCA) requirement for electronic submission of claims.
Fill the form with capital letters and always use black ink or black fonts.
The CMS-1500 form is the standard paper claim form used by a non-institutional provider or supplier to bill Medicare carriers and Medicare administrative contractors (MACs) when a provider qualifies for a waiver from the Administrative Simplification Compliance Act (ASCA) requirement for electronic submission of claims.
Developed by the National Uniform Claim Committee (NUCC), the CMS-1500 form is a standard claim form, that is used by all of the non-institutional medical providers or suppliers to bill Medicare carriers and durable medical equipment regional carriers (DMERCs) when a provider meets the requirments from the Administrative Simplification.
Jun 5, 2018 - TRICARE DoD/CHAMPUS Claim Form-Patient's Request for Medical. The Form CMS-1500 (formally known as HCFA-1500) is the standard.
Do not use italics or broken characters, dot matrix fonts, stylized fonts, or red ink when filling out the CMS 1500 form.
Make sure that the data you enter is in the middle of the box and the edges does not be touched.
Use standard codes in various fields and never use any narrative text.
Remember that the size of the form you submitted is 81⁄2' x 11'. So, ensure to remove all the perforations. Also, it is important to make sure that all other attachments to the form are smaller than the size of the form.
Never use stickers or rubber stamps and your name and address on forms.
Do not fill in any special characters on the form, such as hyphens, periods, same marks, dollar signs, etc.
Make sure you submit the original form and keep a photocopy for your reference. Any uncommitted forms will not be processed.
What Is a CMS 1500 Form
Developed by the National Uniform Claim Committee (NUCC), the CMS-1500 form is a standard claim form, that is used by all of the non-institutional medical providers or suppliers to bill Medicare carriers and durable medical equipment regional carriers (DMERCs) when a provider meets the requirments from the Administrative Simplification Compliance Act (ASCA) for a waiver for electronic submission of medical claim form 1500. It is also used for the billing of some Medicaid agencies (more details you can contact your Medicaid agency).
The CMS 1500 Template Format
The CMS 1500 claim form is readily available from office supply stores, the U.S. Government Printing Office, and local print companies throughout the country. The format of CMS 1500 claim form is available in single, multiple, laser, continuous feed and other options for your choice, totally depending on the printer you are using and your requirements.
From UB-04 Software:
The HCFA-1500 Fill and Print NPI Software is a HCFA-1500 (CMS-1500) form filler software, which allows you to fill out CMS-1500 forms on your PC. Adds up charges automatically. Saves and loads claims to your hard drive. Print on pre-purchased forms or print the entire form in either color or black & white. A simple interface with Help boxes for ease of use. Create templates for speed of completion and to eliminate repetition. Printer alignment that calibrates the form with your printer. AutoFill for repetitive transactions in rows one to six.