CMS-1500

The standard professional claim form for insurance submission.

What's on it (beyond a Superbill)

• Insurance plan information (carrier, member ID, group)
• Place-of-service code
• Auto-accident / employment flags
• Prior authorization number
• Billing facility vs service facility addresses
• Tax ID / EIN

Tax ID, billing phone, and billing address are pulled from your profile. Set them under Profile → Settings → Billing Settings before generating your first CMS-1500.

When to use it

• Direct submission to a payer you're contracted with.
• Claims requiring the full HCFA-1500 structure.

Field-by-field walkthrough and common rejection causes coming soon.