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The document outlines the revisions to the CMS-1500 (08/05) Health Insurance Claim form, effective January 2, 2007, as approved by the Centers for Medicare & Medicaid Services. It details the transition timeline for providers, critical changes in block descriptions for reporting National Provider Identifier (NPI) and BlueCross BlueShield of Tennessee provider identification number (PIN), and guidelines for accurate claim submissions. The document emphasizes the importance of using the correct identifiers to avoid unprocessed claims and provides specific instructions for completing various fields on the new form.

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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

How do you print and adjust the margins to print a CMS 1500 for your specific printer?

Can CMS 1500 Forms be Handwritten? While it is technically possible to handwrite a CMS 1500 form, it is generally not recommended.

Can I print a CMS 1500 form PDF?

Printing your CMS 1500 form After saving your claim form, you can submit it electronically through SimplePractice, or download it to print. Important: If you are downloading a secondary claim form, you will notice that the downloaded PDF does not match that of the claim form you see in SimplePractice.

Can I print my own CMS 1500 forms?

To print a 1500 form and update the margins. From Billing Manager, Select the Option Print and then select Claims In the Print Claims Box, Click the Print Settings button. Click Print Test form and Select the Printer needed. For the first print, leave the top margin, left margin, font size, and font as defaulted.

Can I handwrite a CMS 1500 form?

Open the local file with your systems PDF reader. Navigate to Save and Print Options and select Print Text Only.

Where can I get CMS 1500 forms?

In order to purchase claim forms, you should contact the U.S. Government Printing Office at 1-866-512-1800, local printing companies in your area, and/or office supply stores. Each of the vendors above sells the CMS-1500 claim form in its various configurations (single part, multi-part, continuous feed, laser, etc).