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The Health Care Financing Administration (HCFA) was created in 1977 to combine under one administration the oversight of the Medicare program, the Federal portion of the Medicaid program, and related quality assurance activities.
PURPOSE OF HEALTH INSURANCE CLAIM FORM - HCFA-1500. The Form HCFA-1500 answers the needs of many health insurers. It is the basic form prescribed by HCFA for the Medicare program for claims from physicians and suppliers, except for ambulance services.
The CMS-1500 form is the official standard Medicare and Medicaid health insurance claim form required by the Centers for Medicare Medicaid Services (CMS) of the U.S. Department of Health Human Services.
The Health Care Financing Administration (HCFA) form, also known as the CMS-1500 form, is a standardized paper claim form used by health care providers to submit claims for reimbursement of medical services provided to patients. It is used primarily for billing Medicare, Medicaid, and private insurance companies.
The HCFA 1500 claim form, also known as CMS-1500, enables medical physicians to submit health insurance claims for reimbursement from various government insurance plans including Medicare, Medicaid and Tricare.
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Practitioners like yourself (or, more realistically, your front-office staff or third-party medical billing team) will complete the HCFA form after a patient encounter. A complete HCFA form will include Current Procedural Terminology (CPT) codes for all services provided.
A claim must be submitted within one year (365 days) of the date the expense was incurred.
The American Postal Workers Union (APWU) Health Plan is a national preferred provider organization (PPO) that offers both a fee-for-service High Option plan and a Consumer Driven Option health plan.

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