The CMS 1500 (HCFA) is the standard paper claim form accepted by most commercial and private insurance carriers. The new CMS 1500 (02/12) has been revised by the National Uniform Claim Committee (NUCC) to accommodate recent changes. The form now accepts ICD-10 codes, expanding the number of possible diagnosis codes on a claim to 12. The form also uses letters, instead of numbers, as the diagnosis code pointers.
Type in the form fields using Adobe Reader. Has the “look and feel” of the original CMS-1500 designed by the NUCC. Fill fields are highlighted in blue and are tabbed for quick data entry.
Save & re-use your templates over and over. Built-in help menus assist the user in accurately completing the claim.
Optional form calculations add up the charges for you.
One-time purchase charge to create unlimited claims. Install on up to 2 computers such as home and office. Multiple user discounts available.
Professional Claims Submission
Perfect for providers submitting 1500 paper claims.
Used by acupuncturist, nurses, optometrists, physicians, podiatrists, psychologists, therapists, home health care providers, and other health care practitioners who are submitting claims for services.
Frequently Asked Questions