Claims

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Tools & forms: Claims

Use these self-service tools and forms related to claims.

CMS-1500 (02/12) paper claim form

Find information on where to obtain and how to complete the CMS-1500 claim form.

Avoiding hospice claim rejects

Providers billing Medicare should determine if a patient is enrolled in hospice before billing Medicare Part A. This article has tips on checking patient eligibility and avoiding hospice claim…

DMEPOS HCPCS codes jurisdiction list

CMS annually updates the durable medical equipment prosthetics, orthotic, and supplies (DMEPOS) for DME MAC and Part B MAC jurisdictions list.

New provider roadmap: Claims submission

Once enrolled as a Medicare provider, a billing method with Medicare needs to be established. Step 1: Choose your billing method

New provider roadmap: Claims submission

Once enrolled as a Medicare provider, a billing method with Medicare needs to be established. Step 1: Choose your billing method

Ambulance transport – Deceased beneficiary

In general, Medicare does not make payment if no transport occurs. In a situation where the beneficiary dies, payment under the Medicare ambulance benefit depends on the time at which the beneficiary…

Tips to prevent reject reason code C7010

Read this article for tips on how to prevent reject reason code C7010.

Ambulance transport – Deceased beneficiary

In general, Medicare does not make payment if no transport occurs. In a situation where the beneficiary dies, payment under the Medicare ambulance benefit depends on the time at which the beneficiary…

Critical access hospital (CAH) method II professional reassignment deadline is January 1

Beginning January 2, 2026, CAH Part A Method II claims for professional services will return to provider (RTP) if a reassignment isn’t in PECOS. Watch the on-demand learning video, "CAHs Method II…