Reprinting CMS 1500 Forms

This topic explains how to reprint CMS 1500 forms in AcuityLogic Billing. You can reprint a CMS 1500 form only after the claim has been billed.

Printing a CMS 1500 form marks the claim as Billed. Reprinting the CMS 1500 form does not change the status of the claim.

To reprint a CMS 1500 form

  1. Search for a billed claim whose CMS 1500 form you want to reprint. See Searching for Claims.
  2. From the Action drop-down list of the claim whose CMS 1500 form you want to reprint, select one of the following:
    • Reprint CMS Form (Version 08/05)
    • Reprint New CMS Form (Version 02/12)

    The CMS 1500 form opens in a new window.

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