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Helpful Information for Users of CMS Forms

Centers for Medicare & Medicaid Services
The Centers for Medicare & Medicaid Services (CMS) is a Federal agency within the U.S. Department of Health and Human Services. CMS.gov is a federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. Includes information about Medicare, Medicaid, Medicare-Medicaid Coordination, Private Insurance, CMS Regulations & Guidance and much more information about how CMS works with the private insurance industry to provide affordable health care coverage to over 100 million Americans.
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National Uniform Claim Committee (NUCC)
This is the most important website concerning the use of the CMS 1500 insurance claim form. The website is owned and maintained by the American Medical Association. The website includes announcements, CMS 1500 form instructions, medical taxonomy code sets and updates
applicable to CMS forms and many other resources helpful to users of CMS 1500 forms.

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CMS-1500 Claim Form Reference Instruction Manual
The NUCC has developed a CMS 1500 Reference Instruction Manual detailing how to complete the 1500 claim form. The purpose of the manual is to help standardize nationally the manner in which the CMS 1500 form is being completed. Includes information on changes and updates that were made to updated versions of the CMS 1500 claim form.

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CMS-1500 Claim Form - Frequently Asked Questions
The National Uniform Claim Committee (NUCC) maintains this webpage which includes the latest PDF file with FAQ's about the CMS 1500 claim form. The CMS 1500 FAQs PDF file is updated periodically on this webpage.

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CMS Quarterly Provider Updates
This webpage on the Centers for Medicare & Medicaid Services (CMS) website is a catch all page of updates to services provided by CMS. The updates make it easier for providers, suppliers, and the general public to understand the changes CMS is proposing or making in the programs CMS administers including Medicare, Medicaid, and the Children's Health Insurance Program.

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CMS Forms
This section of CMS.gov includes manuals and guidelines for use by private insurers and health providers when processing health services payments through CMS (Centers for Medicare & Medicaid Services) and when using CMS forms.

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Medicare Provider-Supplier Enrollment
This section of the CMS website is designed to provide Medicare enrollment information for providers, physicians, non-physician practitioners and other suppliers. If you are a health care provider, make sure you are properly enrolled as a Medicare provider before submitting those CMS claim forms.

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Medicare.gov
The official U.S. government website for Medicare managed by the U.S. Centers for Medicare & Medicaid Services. This is a great resource for health care providers and insurers that use the CMS 1500 insurance claim forms. Includes what is covered by Medicare services, a helpful reference for all heath care providers paid through CMS.

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CMS Physician Fee Schedule
This section of the CMS website includes a fee schedule used by Medicare to pay doctors or other providers/suppliers. This comprehensive fee schedule is used to reimburse a physician and/or other providers on a fee-for-service basis. Includes an Ambulance Fee Schedule, Clinical Laboratory Fee Schedule, Durable Medical Equipment and Prosthetics/Orthotics & Supplies Fee Schedule as well as a Physician Fee Schedule.

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CMS Open Door Forums
CMS (The Centers for Medicare & Medicaid Services) sponsors regularly scheduled “Open Door Forums" providing an opportunity for live dialogue between CMS and all who interact with CMS or work with patients who rely on services that CMS provides. If you work with patients who use Medicare, Medicaid, CHIP or the new Affordable Care Act benefits, these forums will allow you to ask questions for further clarification.

 

Helpful Information for users of CMS forms

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