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.
The CMS 1500 form is only filed by health care providers or medical suppliers, not by patients. Information collected on this form includes basic details about the patient, service dates and the type of services provided. The form is only used to file claims for patients who have health coverage through Medicare or Medicaid.
The U.S. Government Bookstore website has the CMS 1500 form available for sale. A sample copy of the form is available for download and printing on the Centers for Medicare and Medicaid Services website, but the sample copy cannot be used to file a claim. The form is printed using a special ink, so it is essential to obtain copies of the form from a reputable source. Photocopied versions of this form are not accepted.
Medicare and Medicaid are both government-run health care programs. Medicare is available to most Americans who are over 65 years old or disabled and is administered by the federal government. Medicaid is a state-run program that is available to low-income people of all ages who meet eligibility guidelines.