How to Fill Out a CMS 1500 Insurance Claim Form

How to Complete the
CMS 1500 Insurance Claim Form

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Learn how to fill out a medical insurance claim form for services provided, using either electronic claim submission software or 02/12 CMS 1500 PDF Template used for medical billing.

In this video Allyson takes us through the different fields involved in filling out a health insurance claim form, which can be printed out and submitted to insurance for reimbursement.


Alison Pidgeon is consultant who teaches counselors how to start a private practice. Read more about her at: www.practiceofthepractice.com

CMS 1500 Software & Template

Allyson has already completed the claim form using her electronic health record software, but if you do not have your own claims management software, use the CMS 1500 PDF to follow along.

Download the fully functioning demo here.

CMS 1500 PDF DOWNLOAD

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