Creating CMS 1500

Medplum supports customizable creation of CMS 1500 for use in billing.

The CMS 1500 form is a standardized form used in the United States to submit healthcare claims to Medicare and other health insurance providers. It is widely used by non-institutional providers and suppliers, such as physicians and outpatient clinics, to bill Medicare Part B and other insurers for services provided to patients. The CMS 1500 requires information about the patient, the medical services provided, and their costs.

CMS 1500 and FHIR

The data that fills the content of the CMS 1500 lives (largely) on the Patient, Coverage, Claim and Encounter FHIR resources. Your charting process should accurately populate these resources to ensure streamlined billing.

Claim Export FHIR Operation

To export a claim as PDF you can use the following operation

curl 'https://api.medplum.com/fhir/R4/Claim/<CLAIM_ID>/$export' \
  -H 'Authorization: Bearer <ACCESS_TOKEN>'