Who typically completes the CMS-1500 form?

The CMS-1500 form is primarily completed by healthcare providers, such as physicians or their office staff, to submit claims to insurance companies for reimbursement of medical services performed. This form contains essential information about the patient, the services provided, and the medical necessity of those services.

Healthcare providers are responsible for ensuring that all required information is accurately recorded to facilitate timely processing of claims. They possess the necessary knowledge about the treatment rendered and the relevant codes for the services provided, which are critical for insurance billing.

Patients typically do not complete this form themselves, as they may not have access to all the technical information required or understand the specific coding necessary for reimbursement. Similarly, insurance adjusters are involved in processing claims rather than submitting them, and pharmacy technicians primarily deal with prescriptions and medication services, not the submission of general medical claims.