CMS 1500 Forms (formerly HCFA 1500 forms)

CMS 1500 forms are the standardized medical billing forms for professional (non-institutional) medical billing of health insurance claims in the United States. Our form is the official CMS 1500 form version is 02/12 in use for non- institutional providers and suppliers to bill Medicare, payers and insurance companies. No other version of the form  OMB-0938-0999 form is acceptable to use after April 1, 2014.

Claims must be submitted on original, not photocopied, print versions of the CMS-1500 forms. Our forms are printed in a special OCR-scannable red ink.