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Cms 1500 paper instructions-2026
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- Click ‘Get Form’ to open the CMS 1500 form in the editor.
- Begin by filling out Locator 1, indicating the type of health insurance coverage applicable to the claim. This is essential for proper processing.
- In Locators 1a through 9, provide required patient information including their name, birth date, and relationship to the insured. Ensure accuracy as this data is critical for claims.
- Complete Locators 10 through 20, detailing any other insurance coverage and patient status. If applicable, indicate if the patient's condition relates to employment or accidents.
- Fill in service details in Locators 21 through 33, including procedure codes and charges. Be sure to include all necessary identifiers like NPI numbers for providers.
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Each paper form must be accompanied by a check or money order. The instructions listed below follow the field format of the UCIA fingerprint submission.
Nov 15, 2021 Complete instructions for the CMS-1500 can be found in Chapter 26 of the Medicare Claims Processing Manual (PDF).