How to Fill Out a CMS-1500 Claim Form

What You Will Learn

This course takes you through how to fill out each field location (box) on the CMS 1500 claim form

Interact and Share

Give us feedback, share your experiences, and post questions at: Course 6 Post

Assignments and Activities

  1. Download the COURSE 6 Slides.
  2. Watch the video.
  3. Answer the questions:
    • What is a CMS-1500 form and when is it used?
    • What is an authorization for release of medical records and why is it important?
    • Can a provider charge a patient for filling out the 1500 form?
    • Name three (3) common omissions and three (3) common errors when filling out a claim form.
    • How are 1500 claim forms submitted?
  4. Practice filling out a 1500 form. Open the Course 6 Instructions.
  5. Click on the Practice Billing button to try using a software billing system. Use the Quickstart Guides and Videos to learn about the software. You can add your own practice patients and claim forms. Check out the 837 record which shows you the data for an electronic claim , compare the records to the 1500 form.

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