CMS

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100% guaranteed compliance. For physicians, the CMS 1500 meets The Centers for Medicare and Medicaid Services guidelines. CMS 1500 (02/12) claim forms are available for use with the ICD-10 codes. All returns must be made within 60 days of invoice by calling customer service and receiving a return authorization number.
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Additional Details

Wilmer's extensive line of claim forms are available in laser cut sheets and continuous forms to meet your clients needs.

Please note that there have been no changes to the CMS1500 claim form in recent months. The latest/up-to-date version is the 02/12 version. You may see some forms with a date of 09/19. That is the date that the Office of Management and Budget (OMB) plans on reviewing the forms again for possible changes.

To see a complete listing of claim forms, see our Compatible filing catalog, or call Customer Service and request your copy of the W-CFP-CAT. (Available with and without the net price list)

More Resources

CMS 1500 changes
CMS1500 (02/12) Manual
Healthcare flyer