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.
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CMS 1500 Health Insurance Paper Claim Forms (02/12) FREE Priority Shipping
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CMS 1500 Billing Package – Fillable PDF with 200 Paper Claim Forms FREE priority shipping
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UB-04 Billing Package – 200 Forms w PDF – FREE Priority Shipping
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CMS 1500 Pro Billing Package
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