Billing & documentation
CMS-1500

CMS-1500

The standard professional claim form for insurance submission. Generate it from Sessions Step 5 or the signed session page; it requires at least one ICD-10 diagnosis on the session.

What's on it (beyond a Superbill)

  • Place-of-service code (from the Visit Setting card; up to 4 modifiers print in box 24D)
  • Diagnosis pointers (auto-derived from your ICD-10 list order)
  • Tax ID / EIN with ID type
  • Billing provider block: address and phone from your Billing Settings

Tax ID, billing phone, and billing address come from Billing → Billing Settings (avatar menu → Billing). Fill them in before generating your first CMS-1500 — see Billing Settings.

Not yet auto-filled

Insurance plan details (carrier, member ID, group), prior authorization numbers, accident/employment flags, and a separate service facility aren't collected by the platform yet. If a payer requires them, complete those boxes on the downloaded form before submitting.

When to use it

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

Common rejection causes coming soon.