At a Glance

This guide details how to download CMS-1500 forms, individually and in bulk.

What is a CMS-1500 (or HFCA-1500) Form?

The Healthcare Financing Administration (HCFA)-1500 claim form, also known as Centers for Medicare & Medicaid Services (CMS)-1500, enables medical physicians to submit health insurance claims for reimbursement from various government insurance plans including Medicare, Medicaid and Tricare. When a physician has a private practice but performs services at an institutional facility such as a hospital or outpatient facility, the CMS-1500 form would be used to bill for their services.

For more information, visit [cms.gov](https://www.cms.gov/medicare/billing/electronicbillingeditrans/1500).

In Insights, we refer to these as CMS-1500 forms.

Here’s How to Do It

• Download an Individual CMS-1500 Form

  From the Claim Details page, open the target claim.

  

  
  

  Open the Submissions tab. Find the submission in question and click View, under the ‘Action’ column.

  You will then see a preview of the CMS-1500 form. Note that it may take 10-15 seconds to load.

  You then have the option to Download or Print the document with the icon buttons at the top of the new preview page.

  

  
  

  Done!

• Download CMS-1500 Forms in Bulk

  There is a Download CMS Forms button next to the filters at the top of the Claim Details page. We recommend using the filters to narrow your search, otherwise the download will probably take a very long time or fail.

  
  

  In this example, we’ll download CMS-1500 forms for this particular patient, but only for claims with an Encounter Status of ‘Approved.’

  

  
  

  Note that these downloads may be large and take a few minutes.

Coding

Features Supported

• A coding team is dedicated to ensuring accurate and compliant coding for electronic and paper claims.

• We have coding quality reviews to ensure clean claims and reduce downstream denials

• We provide coding review and support for coding related denied Claims

• We provide recommendations and updates on coding guidelines and best practices

• We code all encounters within 24-48 business hour SLA

Features In Development

• Automated E/M coding using AI

Features Not Supported

• Write-backs into the sites EHR

• Coding prior auth support for large- scale workflows.

• Specialities: PT