The CMS-1500 form is the standard paper claim form used by providers or suppliers to bill Medicare Fee-For-Service (FFS) contractors. This interactive guide provides instruction on how to complete the form.
To ensure timely processing of the claim form, you must follow the form instructions and complete all required information. Select each field below for more information!
The CMS-1500 form is developed and maintained by the National Uniform Claim Committee (NUCC). The most current form is version 02/12, Office of Management and Budget (OMB) control number 0938-1197.
Providers may only use this form if they have received an exception from the Administrative Simplification Compliance Act (ASCA). The ASCA requires that Medicare claims be sent electronically unless a provider qualifies for an exception waiver.
You are offline. Trying to reconnect...