The Purpose Of The HCFA CMS 1500 Form

Filling out medical forms can get complicated.

Insurance covered procedures require a CMS 1500 filing.

Insurance covered procedures require a CMS 1500 filing.


There are numerous forms that you need to fill out when working within a medical billing office. Confusion can often result from the variety of choices. Survey any number of medical offices, and you’ll find the hcfa cms claim form 1500 is used the most. Here’s the basics:

  • The form was previously known as the HCFA 1500 but has since been named the cms 1500 version 02/12 claim form.
  • The name was derived from the centers for medicare services.
  • Several Medicaid State Agencies require this form to process billing.

Mostly used by non-hospital providers and suppliers in the medical industry.

By law, the filled in form must be submitted within 365 days to receive reimbursement for services rendered. Some people try to use copies of the form, but quickly realize that it’s produced with a special ink, making it hard to re-use. Due to a specific scanning technology called OCR, the red ink used is meant to facilitate that process of reading the information on the form. The scan reads what has been added to the form making it extremely important you have the exact form.


Almost 100% of the time, poor quality ink on the form results in errors.

Two keys to ensuring your submissions are as follows. First use only the most current form. And make sure the ink is exactly what is required. If you don’t send in the correct form, or send in a form without the correct ink, your forms will not be processed. Any delays in re-submitting the corrected form and information could result in no payment at all.

The bottom line is you need forms that are trustworthy. And as such, you need to find a quality provider.

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