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CMS 1500 Claim Form PDF

CMS 1500 Claim Form PDF Download

CMS 1500 Claim form PDF is available for free download at the end of the article.

CMS 1500 Claim Form PDF

CMS 1500 Claim Form

CMS 1500 claim form PDF read online or free download from the www.cms.gov links given at the end of this article.

The CMS-1500 is a standard claim form that is used by non-institutional providers or suppliers to bill Medicare carriers, and durable medical equipment carriers (DMERCs), when they qualify for a waiver of the Administrative Simplification Compliance Act’s (ASCA’s) requirement for electronic claims submission.

CMS 1500 Claim Form Download

Some Medicaid state agencies also use it for billing. For more information, please contact your Medicaid State Agency. The National Uniform Claim Committee is responsible for designing and maintaining the CMS-1500 claim form. CMS does not provide the CMS-1500 form to providers.

To purchase claim forms you can contact the U.S. Government Printing Office by calling 1-866-512-1800. You can also visit local office supply stores or printing companies. The CMS-1500 claims form is available from each of the above vendors in various configurations: single-part, multi-part, continuous feeds, lasers, etc.

Download the CMS 1500 Claim Form PDF

You can download the CMS 1500 Claim Form PDF using the link given below.

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