Go to www.PalmettoGBA.com/cms1500 to use the Interactive CMS-1500 Claim form. You are just a click away of determining what information should be completed in each field of the claim form. Click on each item to view both electronic and paper instructions. The claim form is quick and easy to use.
The CMS-1500 claim form is the basic form prescribed by the Centers of Medicare & Medicaid Services (CMS) for the Medicare program for claims from physicians and suppliers, except for ambulance services. It has been adopted by the Office of Civilian Health and Medical Program of the Uniformed Services (OCHAMPUS) and has received the approval of the American Medical Association (AMA) Council on Medical Services.
Reminder: The Administrative Simplification and Compliance Act (ASCA) requires that claims be submitted electronically to Medicare beginning on October 16, 2003, unless the provider meets the definition of a 'small provider' (fewer than 10 full-time equivalent employees for providers required to bill Medicare carriers), or meets one of the few exceptions to this requirement.
You must submit your claims electronically unless you meet the exceptions criteria established by this Act.