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 results