Efficient - Create unique templates for common claims.
Affordable - One-time purchase. Unlimited claims.
Compatible - Works with both Mac & Windows.
System RequirementsThis fillable PDF requires Adobe Reader, version 9 or newer to type, save and print form fields.
Download the latest version of Adobe Reader, the free, trusted standard for PDF files.
Note: Mac and Windows 8 both have a default PDF viewer. Be sure to open Adobe Reader first, then the CMS-1500 PDF from within Adobe Reader to save and print the claim properly.
Optional Form Calculations: This feature automatically adds up the charges (1-6 in Box 24F) for the total charge in Box 28. To manually edit the calculation, you can turn it off at the bottom of the form.
Print and Save Options
This Fillable Form is a Rights Enabled PDF that allows the user to fill, save, and edit the claim form. Once completed, use the built-in menu to save, print and clear the form. To create a template, a claim to use over and over, fill in the form, then
choose Save and name your template. Now open the template, edit and save with the new claim name.
Printing Form and Text
Open the file CMS-1500.pdf and fill in the patient information. In the menu choose Print All. This option will print the red form with typed text and the backside. Be sure to set for two-sided printing. 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" into a commercially printed 1500 paper claim to ensure your claim is accepted and processed.
Printing Text Only
Put a Commercially Printed 1500 Paper Claim in the printer and choose Print Text Only from the menu. The form is already aligned, and will place the text in the proper spaces
Purchase of the CMS-1500 PDF entitles the user to perpetual use of the form, for an unlimited amount of time. A licensed user may open, use, access, display and copy the CMS-1500 PDF on up to two (2) computers. This license and PDF file may not be shared, transferred or used by others. If your agency has additional user licenses, the purchaser must be willing to manage the deploymentand utilization of each license of the CMS-1500 PDF within the agency.