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April 1 deadline to begin using new CMS 1500 claim form.. 2014 (PDF, 552KB). Services. you may want to contact payers to confirm they are accepting the new form. Download FREE CMS medical claim FORM 1500 template in fillable PDF format ... or other text on the form. Forms with the 02/12 NUCC approval. 02/12 1500 Claim Form as of January 6, 2014.. and requests for new standards. New CMS-1500 Medi-Cal Guide for Use Beginning January 6, 2014.. to show providers the fields that have changed on the new 02/12 version of the CMS-1500 claim form. FREE HCFA/CMS 1500 FORM TEMPLATE for medical claims in fillable format:. THE NEW CMS 1500 (02-12) FORM FOR MEDICAL CLAIMS: Form HCFA / CMS 1500 (02-12) Free PDF. The updated form, CMS-1500. New CMS-1500 form effective April 1, 2014. The new Centers for Medicare and Medicaid Services CMS-1500. (pdf) For information in. Amazon.com : New CMS-1500 02/12 Claim Form (25 forms) : Business Claim Forms : Office Products. NEW CMS 1500 Claim Forms - 500 Sheets (02/12 Version). cms 1500 forms. Home; Need Help? Live Chat;. New Customer? Create an Account. My Account;. Use with standard CMS-1500 form; Self-seal envelope; ... 2014, Medicare, Texas. and all other payers will accept only the revised CMS-1500 claim form (02/12). 2015, does not delay use of the new CMS-1500 claim form. The CMS 1500 PDF (HCFA 1500 PDF) is. Form Design; Claim Forms. CMS 1500 PDF Template; UB 04 PDF Template; About; Contact; Search; CMS 1500 PDF Template …