CMS 1500 PDF Fillable Form for Mac or Windows. Used by all health care providers to submit a paper claim to bill for services.
The latest version of the CMS 1500 Software allows for ICD-10-CM codes on a claim, and qualifiers to identify whether certain providers have performed an ordering, referring, or supervising role in the furnishing of a service. In addition, the revised form uses letters as diagnosis code pointers, and expands the number of possible diagnosis codes on a claim to 12. Simply open with Adobe Reader on your Mac or Windows computer.
Showing all 7 resultsSorted by price: low to high
- Sale!
CMS 1500 Health Insurance Paper Claim Forms (02/12) FREE Priority Shipping
$29.00 – $49.00 Select options This product has multiple variants. The options may be chosen on the product page CMS 1500 PDF
$39.00 Add to cart- Sale!
CMS 1500 Billing Package – Fillable PDF with 200 Paper Claim Forms FREE priority shipping
Original price was: $59.00.$49.00Current price is: $49.00. Add to cart - Sale!
UB-04 Billing Package – 200 Forms w PDF – FREE Priority Shipping
Original price was: $69.00.$59.00Current price is: $59.00. Add to cart - Sale!
CMS 1500 Pro Billing Package
Original price was: $69.00.$59.00Current price is: $59.00. Add to cart