Q:

What is the CMS 1500?

A:

Quick Answer

As of 2014, CMS-1500 is a form issued by the Centers for Medicare and Medicaid Services and used by health care professionals to request reimbursement for services provided to patients. This form is used for reimbursement from various government insurance plans including Medicare, Medicaid and Tricare.

Continue Reading

Full Answer

The CMS-1500 is a standard claim form used by all non-institutional medical providers or suppliers to bill Medicare carriers and durable medical equipment carriers when a provider qualifies for a waiver of electronic submission of claims. This paper claim form is also used for billing certain Medicaid state agencies. CMS-1500 is available in various formats including single part, multi-part and continuous feed.

Learn more about Taxes

Related Questions

  • Q:

    When do you get a Medicare provider number?

    A:

    Doctors and other health care professionals receive a Medicare provider number after approval of the online application referred to as the Provider Enrollment, Chain and Ownership System, known as PECOS, or the paper enrollment process, CMS-855, says Centers for Medicare & Medicaid Services. PECOS provides additional benefits after approval.

    Full Answer >
    Filed Under:
  • Q:

    How do I get a CMS 1500 form in PDF format?

    A:

    The CMS 1500 form in PDF format may be downloaded for free from the Centers for Medicare & Medicaid Services website, CMS.gov. Health care providers use the CMS 1500 to claim payment from Medicare for qualifying services rendered to Medicare patients. The form includes instructions on its proper completion and use.

    Full Answer >
    Filed Under:
  • Q:

    When is a CMS 1500 form used?

    A:

    The CMS 1500 form is a claim form used by health care providers to file for payment of Medicare and Medicaid claims. The form is published by the Centers for Medicare and Medicaid Services.

    Full Answer >
    Filed Under:
  • Q:

    What is a CMS-1500 insurance form?

    A:

    A CMS-1500 form is the official standard insurance claim form used for Medicare and Medicaid health insurance. The form is required by the Centers for Medicare & Medicaid Services and must be submitted on original print versions. Original forms are necessary as a special OCR-scannable red ink is used.

    Full Answer >
    Filed Under:

Explore