You can reprint a CMS 1500 form only after the claim has been billed. (Printing a CMS 1500 form marks that claim as Billed.) Reprinting the CMS 1500 form does not change the status of the claim.
- Search for a billed claim whose CMS 1500 form you want to reprint.
For more information on searching for claims, go to Searching for Claims.
- In the row of the claim whose CMS 1500 form you want to reprint, select Reprint New CMS Form (Version 02/12) from the Action drop-down list.
The CMS 1500 form opens in a new window.
- Click Print.