Medicare_Claims_Processing_Manual / Chapter_1 / 70.8.4

Why This Topic Matters

Knowing which Medicare claims form applies to a given submitter or circumstance helps avoid rejected, delayed, or misrouted claims and supports compliant processing of Part B services.

Article Sections

1. Claims Forms

   Overview of Medicare Part B claims form policy, including approved reproduction and form approval requirements. Also introduces the major claim forms discussed in the section.

2. CMS-1500

   Discusses the standard physician and supplier claim form and related distribution and format considerations.

3. CMS-1490S

   Covers the beneficiary claim form and its general role in submitting Part B claims.

4. CMS-1491

   Describes the ambulance-related claim form and its use in ambulance service billing.

5. CMS-1490U

   Explains a specialized form used by entities paid under an indirect payment provision.

6. CMS-1556

   Identifies a group practice prepayment plan form used in Medicare payment processing.