Click for ScreenshotThe CMS -1500 Form Filler is ideal for fast submission of the standard paper claim used by health care providers to bill for services using OmniForm Software by Nuance.

This form allows you to save patient claims for easy editing and re-submission, batch print several claims at once, or create templates for repetitive claims. OmniForm Software included in purchase.



CMS-1500 Mailable Filler for WIndows



User Highlights

•  Has the “look and feel” of the original CMS-1500
•  Data Fields highlighted in yellow for easy recognition
•  Autofill and type-ahead features speed form filling
•  Calculates charges automatically
•  Built-in Help Menus and hyperlinks to online help

Print Features:
•  Print with Red "dropout" ink* & black type on plain paper
•  Print “type only” on pre-printed CMS-1500 forms
•  Adjust the Alignment to perfectly fit in pre-printed CMS-1500 forms
•  Easily Batch Print several claims all at once
•  Patient disclaimer page included.


See our video tutorial for filling out the
CMS-1500 using OmniForm Software



  • *Note - It may not be possible to replicate the form color (OCR Red, Flint J-6983) with your printer.  We recommend sending a sample first, or print “type only” into pre-purchased CMS-1500 forms to ensure your claim is accepted and processed.