Screenshot of CMS-1500 PDF (02/12) Type, Print, and Save your Claim as a PDF

Try it now with your Printer

Download the Demo Here

Macintosh Mac & WIndows Compatible Windows
Requires Adobe Reader Software


The 1500 Form Filler is ideal for fast submission of the standard paper claim used by health care providers to bill for services. 

User Highlights

•  Easy - Just like the new CMS-1500. Simply type in the form fields using Adobe Reader.
•  Efficient - Create unlimited claims. Save & re-use your template over and over.
•  Affordable - One-time purchase. Install on up to 2 computers such as home and office.
•  Optional Form Calculations - Automatically totals up all the charges for you.

Print Text Only - Put a Commercially Printed 1500 Paper Claim
in the printer and choose Print Text Only from the menu.
The form is aligned to place the text in the proper spaces.

Print Form and Text
- Fill in the patient information. In the menu choose Print All. This option will print the red form with typed text with the back page.

Note:
 It may not be possible to replicate the form color (OCR Red, Flint J-6983) with your printer. We recommend sending a sample first, or print "Text Only" to ensure your claim is accepted.
CMS-1500 VideoSee a short video tutorial of the save and print options

System Requirements - This fillable PDF requires Adobe Reader 9 or greater to type, save and print form fields. Download the latest version of Adobe Reader, the free, trusted standard for PDF files. 

Fiachra Forms offers individual support at any time, through video tutorials, a community forum, and detailed email responses for any issues that you may encounter. Customer Comments:

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