A Field Guide to the CMS-1500 (Professional) Claim Form

Health Data Guru #016: plus a downloadable Cheat Sheet and reference table of all fields + descriptions

Stefany Goradia
Health Data Guru
Published in
5 min readJul 4, 2023

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In this article, we’re diving into the CMS-1500 professional claim form’s fields and what those fields mean with descriptions.

I highly recommend you bookmark this for future reference. In a later article, we’ll also do a UB-04 (institutional) claim form.

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Stefany Goradia
Health Data Guru

Health Data Guru. 50% Healthcare 50% Data. Healthcare is complex and health data is unique. I write about how they come together—and sometimes other stuff too.