Course 6

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


Assignments and Activities

  1. Download the course slides to follow along with the video.
  2. Watch the video.
  3. Practice filling out a 1500 form. Download the Course 6 Special Instructions.
  4. 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.
  5. 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?