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Last Modified: 11/3/2011
Location: FL, PR, USVI
Business: Part B
CMS-1500 (08/05) paper claim form
Most claims for Medicare Part B services require electronic submission. For those instances where a paper claim is permissible, the CMS-1500 is available from several sources.
Health care professionals and suppliers are responsible for purchasing their own claim forms. Form CMS-1500 is available in single, multipart snap-out sets or in continuous pin-feed formats and may be obtained from the United States Government Printing Office (GPO). Contact the GPO at 1-202-512-1800 or visit http://bookstore.gpo.gov 
. Form CMS-1500 may be obtained from printing companies and office supply stores, as long as it follows CMS-approved specifications. These specifications may be found in the Medicare Claims Processing Manual (Pub. 100-04, Chapter 26, Section 30) at http://www.cms.gov/manuals/downloads/clm104c26.pdf 
on the CMS website.
. Form CMS-1500 may be obtained from printing companies and office supply stores, as long as it follows CMS-approved specifications. These specifications may be found in the Medicare Claims Processing Manual (Pub. 100-04, Chapter 26, Section 30) at http://www.cms.gov/manuals/downloads/clm104c26.pdf on the CMS website.Requirements and tips for completing the CMS-1500 paper claim form
Detailed information concerning completion of form CMS-1500 including tips and tutorials may be found on the claims submission guidelines section of this website. In addition, claim completion FAQs are also available.
Submission information
View the links below for the mailing addresses for your location on where to submit paper claim forms:
