Instructions:
PRINT ONLY ON OFFICIAL CMS 1500 PAPER CLAIM FORMS FOR LASER OR INK-JET PRINTERS
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Paper claims submitted to Medicare are electronically read using Optical Character Recognition (OCR) equipment. This scanning technology allows for the data content on the form to be read and transferred into a format for automated processing by Medicare systems. The form fields, headings, and lines are rendered invisible to the scanner by use of what is commonly called "drop out" ink. The only acceptable claim forms are those printed in Flint OCR Red, J6983, (or exact match) ink.
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THE FORM ITSELF WILL NOT PRINT ON YOUR PAPER - ONLY THE INFORMATION YOU ENTERED
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The "static" form fileds are visible on the screen only. They are for easy orientation while you are entering your medical claim. They will not print over your original CMS-1500 sheet. Only the information entered by the user will print out.
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THIS PRODUCT IS "AS IS". WE DO NOT PROVIDE ANY SUPPORT FOR IT.
Tips:
1. Make sure your Page Scaling is set to None. You can change this setting from File/Print menu.
2. If the text is still not aligning to the paper form try different settings of your printer - Top/Left margins, scaling, etc. There are several things that can vary from computer to computer - operating system, browser, PDF reader, printer and printer driver, various settings. Try aligning your top left field on the PDF to the paper form by adjusting the margins of your print area from the settings. Then adjust your scaling if the rest of the fields are still off.
3. Click on "Highlight Fileds" to display all fields that allow input.
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