Professional Paper Claim Form (CMS-1500)
The Health Insurance Claim Form (CMS-1500) is used by Allied Health professionals, physicians, laboratories and pharmacies to bill supplies and services to the Medi-Cal program.
The CMS 1500 form is a standardized medical claim form used by individual healthcare providers, such as physicians, therapists, and midwives, to submit billing information for services provided to patients.
The only acceptable claim forms are those printed in Flint OCR Red, J6983, (or exact match) ink. Although a copy of the CMS-1500 form can be downloaded, copies of the form cannot be used for submission of claims, since your copy may not accurately replicate the scale and OCR color of the form.
Can CMS 1500 Forms be Handwritten? While it is technically possible to handwrite a CMS 1500 form, it is generally not recommended.
Printing your CMS 1500 form Open the claim. Click the download icon. Select Download complete form if you want to generate the full, red CMS 1500 form as a PDF. Select Download field entries only if you want to only generate the data fields so you can print it onto a blank CMS 1500 form.
In Washington, you have three application options: Washington State Physician (MD) online application - for Washington State licenses only. Expedited licensure through the Interstate Medical Licensure Compact Commission (IMLCC) Uniform Application through the Federation of State Medical Boards (FSMB)
The following are the five U.S. states that give medical licenses the quickest: New York. New York is one of the quickest states for obtaining a medical license. Indiana. Michigan. Colorado. Ohio.
Once I apply, how long does it take to get a license? The average processing time for a license application is approximately up to 12 weeks.
When will I get my license? We'll mail it within 7-10 days. If you haven't received it after 30 days, call us at 360-902-3900 (TTY: call 711).