If you'd like to view the CMS 1500 claim form that we offer, just click on one of the images to the right to open the PDF in your browser or right click on the image and select "Save Target As" to store it on your computer. These samples are from the front and back sides of the current 2007 (08/05) version of the form. You will need to have Acrobat® Reader® installed on your computer in order to view this PDF file. This is just an example of the form, nothing you can use as a "form fill" to print from.
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Contains "Approved OMB-0938-0999 FORM CMS-1500 (08-05)" at the bottom
The arrow at the top right of the form measures 1/4" from the top of the form, as required
Ensure You Are Using A Revised, Compliant CMS 1500 Form
We only carry the most up-to-date CMS 1500 claim forms. We work closely with the NUCC to guarantee our forms are in 100% compliance with all regulations. Any form you order from us comes with an unconditional 100% money back guarantee to be compliant and accepted. Our compliance also includes the use of special OCR (Optical Character Recognition) paper and inks. The OCR compliance ensures faster claim scanning.
We offer the best pricing on healthcare office supplies anywhere and ship our non-imprinted forms within 24 hours via UPS. We have a wide selection of types of forms including laser, inkjet, pinfeed, and handwritten. All available with volume discounts.
The best and fastest way to get your CMS 1500 forms is to order online. All online transactions are 100% safe and secure, processed using the best SSL technology. However, if you would prefer to order via the phone or fax, we are here to help. See the Contact Us section for our toll-free phone number as well as our fax and email addresses.