The CMS-1500 (HCFA) Form is used by healthcare providers and professionals to file original workers' compensation medical bills in Alabama.

CMS-1500 (HCFA) Services

The following table provides a link to the Alabama regulations which require a provider to use the CMS-1500 (HCFA) for billing purposes.

CMS-1500 Required Billing Documentation

Alabama does not specifically require any supporting documents for a complete bill, though providers are subject to potential on-site audits. Chapter 3 of the Alabama DIR Administrative Code provides further information regarding on-site audits.

For additional billing information please refer to daisyBill’s Alabama Billing Guide.

CMS-1500 Form Instructions

Per Regulation 480-5-5.22 (1) (a) 1, the state of Alabama requires providers to compliantly complete the CMS-1500 form, but provides no further information.

To make things easier for you, daisyBill created this NUCC CMS-1500 Instructions Table showing the requirements of the National Uniform Claim Committee (NUCC), the entity which created and maintains the form. This information is provided for educational purposes only and is not intended to represent state-specific requirements.

For additional information, review the complete NUCC Manual:
1500 Health Insurance Claim Form Reference Instruction Manual for Form Version 02/12

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