This easy to use template makes entering and printing the CMS 1500 Form fast and easy.
One-time purchase fee, 100% satisfaction guarantee. Save individual patient identifying information to reuse for later dates of service by saving each as an individual file.
The Form CMS-1500 is the standard paper claim form used by health care professionals and suppliers to bill Medicare Carriers or Part A/B and Durable Medical Equipment Medicare Administrative Contractors (A/B MACs and DME MACs). ✓
New Features: *Now with built in Forms Calculations.
Print "Form Fields Only" from any PDF Viewer! This new design Easily prints on CMS / HCFA 1500 Health Insurance Claim Forms.
New Version 02/12 Available Now
1500CMS PDF Requirements
Windows or Mac
Adobe Reader XI (11.0) (or similar pdf reader) download at http://get.adobe.com/reader/
User must have basic computer knowledge (File, Save, Print)