When do you need to use the CMS-1500 claim form?


Quick Answer

Individuals at health care organizations that are except from electronic claim filing use the CMS-1500 claim form whenever they need to file a reimbursement claim with Medicare or with some medical equipment carriers, notes the Centers for Medicare and Medicaid Services. This form can help such organizations reduce costs, file claims more efficiently and improve accuracy. The form replaced the HCFA 1500 that was previously in use, notes EMR Consultant.

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Full Answer

Furthermore, some Medicaid State Agencies may require the use of the CMS-1500 form, states the Centers for Medicare and Medicaid Services. One example of such a state is South Carolina. The form is available for purchase through the United States Government Printing office, and sample versions are available online, including on the South Carolina Healthy Connections Medicaid website.

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