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CMS 1500 Forms

Last update
August 7, 2023

Things move fast in your organization. CMS 1500 Forms lets you confirm the accuracy of practice settings and information before submitting a bill.

Step 1. On the navigation bar, click ‘Settings’, then click the name of the Billing Provider

This will navigate directly to the specified Billing Provider.

Step 2. Click the ‘CMS 1500 Forms’ card

A green ‘Checkmark’ icon in the lower right corner of the card indicates CMS 1500 Forms have been previewed for the Billing Provider.  A red ‘X’ icon indicates no CMS 1500 Form has been previewed.

Step 3. From each drop-down list, select the ‘Rendering Provider,’ ‘Place of Service,’ and ‘Injury State’

The information selected will be used to populate the CMS 1500 Form preview per the regulations of the selected state.

Step 4. Click the ‘Preview CMS1500’ button

This downloads a sample claim form in PDF format. Take a look and make sure your practice information is correct.

All set? Happy billing!

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