$5.00 – $37.95
CMS 1500 claim forms are health insurance claim forms. Use these forms for indicating health care services rendered and fees to be reimbursed for services to you or a health care provider you represent. These forms typically are require for medicare patient service reimbursement. The CMS forms available on this web site meet all of the requirements stipulated by CMS (Centers for Medicare & Medicaid Services) for CMS 1500 claim forms as stipulated on their web site cms.gov.
Please note that the pdf available for download from cms.gov is an example of the format only. Using that pdf download will result in denial of your claim. The downloaded form cannot be printed by you in the correct OCR scanable ink required by CMS. Also note that every desktop printer will print the form differently. Desktop printing will alter the specific size and location of barcodes and submission fields. These alterations can lead to OCR misreads by claim form scanning equipment, thus resulting in rejected claims and delayed reimbursement to you.
To submit your claims via mail, you must use forms printed to the exact standards required by CMS. These standards include, but are not limited to, OCR paper opacity and weight, specific OCR orange ink, black barcode in specific size and position, specific size and location of all required submission fields. We guarantee our CMS 1500 claim forms to meet all CMS requirements.
CMS 1500 Claim Forms Quantities and Specifications.
Packages 0f 10, 50 and 100.
Cartons of 2500
All CMS 1500 claim forms are printed on 8.5″ x 11″ laser and inkjet printer compatible papers.
Forms pricing includes shipping costs. Packages of 10 to 100 ship via USPS Priority Mail. Cartons of 500 or more ship via UPS ground. Forms can be shipped to you via USPS and UPS. You can choose UPS ground or expedited services at an additional cost. Taxes are additional and are based on your state tax code.
Description
CMS 1500 claim forms are health insurance claim forms. Use these forms for indicating health care services rendered and fees to be reimbursed for services to you or a health care provider you represent. These forms typically are require for medicare patient service reimbursement. The CMS forms available on this web site meet all of the requirements stipulated by CMS (Centers for Medicare & Medicaid Services) for CMS 1500 claim forms as stipulated on their web site cms.gov.
Please note that the pdf available for download from cms.gov is an example of the format only. Using that pdf download will result in denial of your claim. The downloaded form cannot be printed by you in the correct OCR scanable ink required by CMS. Also note that every desktop printer will print the form differently. Desktop printing will alter the specific size and location of barcodes and submission fields. These alterations can lead to OCR misreads by claim form scanning equipment, thus resulting in rejected claims and delayed reimbursement to you.
To submit your claims via mail, you must use forms printed to the exact standards required by CMS. These standards include, but are not limited to, OCR paper opacity and weight, specific OCR orange ink, black barcode in specific size and position, specific size and location of all required submission fields. We guarantee our CMS 1500 claim forms to meet all CMS requirements.
CMS 1500 Claim Forms Quantities and Specifications.
Packages 0f 10, 50 and 100.
Cartons of 2500
All CMS 1500 claim forms are printed on 8.5″ x 11″ laser and inkjet printer compatible papers.
Forms pricing includes shipping costs. Packages of 10 to 100 ship via USPS Priority Mail. Cartons of 500 or more ship via UPS ground. Forms can be shipped to you via USPS and UPS. You can choose UPS ground or expedited services at an additional cost. Taxes are additional and are based on your state tax code.
Additional information
| Weight | N/A |
|---|---|
| Dimensions | N/A |
| Quantity | 10/pkg, 50/pkg, 100/pkg, 1000/carton, 2500/carton |