CMS 1500 PDF


The CMS 1500 PDF Form Filler is ideal for completing the standard claim form used by health care providers to bill for services.

  Type, Print & Save as PDF
Create unlimited claims/templates
Prints 1500 and Typed Text
 Prints Text Only

 Works with Mac and Windows
 Single User – Install on up to 2 Computers


The CMS 1500 is the standard health insurance claim form accepted by most insurance carriers. It has been updated by the National Uniform Claim Committee (NUCC) to accommodate the current ICD-10 billing codes.

  • Immediate Download of CMS 1500 PDF after purchase with Credit Card or PayPal.

Used by acupuncturists, nurses, optometrists, physicians, psychologists, therapists, home health care providers, and other health care practitioners submitting claims for services.

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