For Laser Printers, Inkjet Printers or Handwritten
Approved CMS-1500 form (02/12) to replace the previous CMS form (08/05)
Fully updated with the latest
revisions, the new CMS-1500 form is 100% compliant and printed to exact
specifications for layout, paper and ink.
Carbonless bond paper for jam-free performance and are printed in OCR-scannable red ink
All forms are government approved CMS-1500 to serve federal programs and private insurers as a universal claim form.
Approved OMB-0938-1197 (02/12).
Payers will begin to accept these forms starting January 6th, 2014. Medicare will only accept this version as of April 1st, 2014. Providers need to check with other Payers/Carriers to verify when they will be accepting this new version