CMS-1500 Claim Form (08/05)How to Fill Out the Form Updated link
Where to Buy Small Quantities
500 sheets is one ream; 2,500 is a case of 5 reams. Check vendor Web sites for current prices and shipping costs. Other styles, such as duplicates or pads of forms, are available from some vendors. American Medical Association members get discounted pricing at the AMA Bookstore.
- AMA Bookstore - Price varies by style and quantity Updated link
- FileRX.com - 1,000 sheets
- FileRX.com - 2,500 sheets
- Medical Arts Press - Price varies by style and quantity Updated link
- Patterson Office Supplies - Price varies by style and quantity
Click “Medical” on menu bar at top or bottom of screen.
Click “Billing Products” on navigation bar at left of screen.
Click “Insurance - HCFA/CMS Forms.”
- Staples.com - 2,500 sheets
- U.S. Government Printing Office - 100 sheets
Claim Adjustment, Remittance Advice, and Taxonomy CodesClaim Adjustment Reason Codes Updated link
Remittance Advice Remark Codes Updated link
Taxonomy Codes Updated link
Medicare NEW!Interactive Voice Response (IVR) and Customer Service (CSR) Telephone Numbers and Web sites
The Zip file contains an XLS file that can be opened by Microsoft Excel and compatible spreadsheets. Most word processing and database programs can open the equivalent CSV file. Look for your state, then region (some states have multiple regions), to find your Part B carrier’s telephone numbers and Web site.
MiscellaneousICD-9-CM Diagnosis Codes Updated link
Click on the year, then click on the filename DTABnn.ZIP, where "nn" is the last two digits of the year. The Zip file contains a Rich Text Format file that can be opened by most word processing programs.
Place of Service Codes Updated link