Fill CMS-1500 claims in minutes
A clean, guided web form that walks you through every CMS-1500 field, validates NPI and diagnosis codes, and exports a print-ready or electronic PDF.
Who it's for
Solo practitioners, small practices, and billing staff who submit paper or PDF claims directly to payers and want a faster, error-free alternative to filling forms by hand.
How it works
Step through guided sections for patient info, provider details, diagnosis codes, and service lines. The form validates each field in real time and flags common rejection triggers before you submit.
Frequently asked questions
- Is it free to use?
- Basic form filling and PDF export are free. A $9/month plan adds saved provider profiles and claim history.
- Does it support electronic submission?
- PDF export for paper submission is standard. EDI 837P export is available on the paid plan.
- Is my patient data stored?
- By default, nothing is stored. Paid accounts can optionally save claim drafts, encrypted at rest.
Get in touch
Need bulk claim processing or EHR integration for your billing department? Contact us to discuss a team or enterprise plan.
hello@cms1500.app