CMS 1500 Form for Filing Physician and Supplier Medicare Claims

Publisher: Health and Human Services Dept.

Description: The new Form CMS-1500 (formerly HCFA 1500) is the basic form prescribed by the U.S. Government's Centers for Medicare & Medicaid Services (CMS) for filing physician and supplier Medicare claims. CMS 1500 is used by numerous Federal agencies and programs, including: Railroad Retirement Board (RRB-1500); Office of Worker Compensation Programs (OWCP-1500) as well as Black Lung Federal Employees' Compensation Act (FECA), and Civilian Health and Medical Program of the Uniformed Services (CHAMPUS).

The new CMS Form 1500 is available in the following configurations:

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