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Order CMS 1500 and HCFA 1500 Claim Forms Online

CMS 1500 Claim Forms are the standard claim form used by non-institutional providers or suppliers to bill Medicare carriers and durable medical equipment regional carriers when a provider qualifies for a waiver from the Administrative Simplification Compliance Act (ASCA) requirement for electronic submission of health insurance claims. The CMS 1500 Claim Forms are also used for the billing of some Medicaid State Agencies.

Claim Forms Plus provides online ordering of approved CMS 1500, HCFA 1500, UB04, and HCFA 1450 Claim Forms. Please consider clicking on the below links to order CMS and HCFA Claim Forms online:

CMS / HCFA 1500 08/05
CMS 1500 Claim Forms / HCFA 1500 Claim Forms - 08/05
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UB-04 CMS / HCFA 1450
UB-04 Claim Forms / CMS 1450 / HCFA 1450 Claim Forms
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Home Health Care 485, 486, 487
Home Health Care Claim Forms
485, 486, 487
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Medical Equipment Claim Forms
Medical Equipment
Claim Forms
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1984 CMS Large Box Format
1984 CMS Large
Box Format Claim Forms
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CMS / HCFA 1500 08/05
CMS 1500 Claim Forms Envelopes
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