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Completing the Claim Form

Preparing a claim for Medicare can be complicated. Review this section to learn more about the claim preparation process and the tools that are available to assist you.

How to Complete a Claim Form

The CMS-1500 claim form is the basic form created by CMS for use by suppliers. Before completing the form, you should determine if you are required to submit your claims electronically (which is standard for a majority of suppliers) or whether you qualify to submit your claims on paper. Electronic filing means that you can complete and submit your claims from your office computer or through a Billing Service or Clearinghouse. All electronic claims processes follow Electronic Data Interchange (EDI) Health Insurance Portability and Accountability Act (HIPAA) transaction standards. We have provided detailed information on EDI in the "submitting your claims" section of this website. You may also learn more by visiting one of the related links below.

For step-by-step instruction on completing a CMS-1500 claim form, please review the CMS Internet Only Manual (IOM) 100-4, chapter 26. We also encourage you to participate in our CGS Provider Outreach and Education workshops, seminars, Webinars, and teleconferences.

Related Information

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