What a CMS-1500 is
The CMS-1500 is the standard paper form used to submit medical claims. Most claims go out electronically through the 837, but some payers still require paper. Billing generates the filled-out CMS-1500 as a PDF that you print and mail.
How paper claims get here
When the primary policy on a claim is marked as a paper claim and the claim is submitted, it is automatically queued for CMS-1500 output alongside the 837. Clicking Transmit on the Claims page generates the combined CMS-1500 PDF for every paper claim queued. The CMS-1500 page tracks those claims after the fact.
How to use the CMS-1500 page
- Go to Imports/Exports in the menu, then click CMS-1500.
- Use the Download Status filter to show Undownloaded, Downloaded, or All.
- To pull a single claim, use the row action Download PDF.
- To pull several at once, tick the checkboxes and click Download Combined PDF.
Example
You run Transmit on Friday and it reports three CMS-1500 claims in the batch. On Monday you want to reprint one that jammed the printer. You open the CMS-1500 page, find the claim by incident number, and click Download PDF in that row to get just that one form.
Tips
- If a claim you expected is missing from the list, check that the primary policy on the claim has Paper Claim turned on, and that the claim is in Submitted status.
- Downloading a combined batch marks each included claim as Downloaded so you can filter it out next time.