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What information is required on the CMS 1500 form?

Enter the patients last name, first name, and middle initial, if any, exactly as shown on the patients Medicare card. Completion of this item is required for all claims. Enter the patients 8-digit birth date (MM | DD | CCYY) and sex. Completion of this item is required for all claims.

Can you print CMS 1500 form?

You can generate CMS 1500 claim forms to submit electronically, or download and print completed forms to submit outside of SimplePractice.

Can I handwrite a CMS 1500 form?

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

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).