CMS 1500 Claim Form Guide 2025 - Summary
The CMS 1500 claim form is an important document used by non-institutional providers and suppliers to submit claims to Medicare carriers and Durable Medical Equipment Regional Carriers (DMERCs). This form is especially useful when a provider has a waiver under the Administrative Simplification Compliance Act (ASCA), which lets them skip electronic submissions for certain claims.
Why the CMS 1500 Claim Form Matters for Healthcare Providers
This form is not just important for Medicare but is also accepted by some Medicaid State Agencies for billing. To find out how your local Medicaid agency uses this form, it’s a good idea to contact them directly. The National Uniform Claim Committee (NUCC) creates and updates the CMS 1500 claim form, but the Centers for Medicare & Medicaid Services (CMS) do not provide the physical forms to providers.
Where and How to Get the CMS 1500 Claim Form PDF
You can get the CMS 1500 claim form by contacting the U.S. Government Printing Office at 1-866-512-1800 or by visiting local office supply stores and printing shops. These places offer the form in different versions, such as single-part, multi-part, continuous feed, and laser-ready formats.
To make things easier, you can download the CMS 1500 claim form PDF directly using the link below. Having the PDF file ready can help you submit your claims faster and more smoothly.