CMS-1500 Health Insurance Claim

Form Template

The Health Insurance Claim mobile app is an electronic version of the standard claim form used to submit Medicare claims.

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Designed for use by Medicare providers, skilled nursing facilities and long-term care providers, users can rely on the app to submit electronic claims from any smartphone or tablet. The app tracks everything needed for Medicare coverage, including patient and insurance information, diagnostic details, hospitalization date, account number, total charges and other vital details.

Are you looking for an easier way to manage the complicated Medicare claims process? With this app, Medicare physicians and other health care professionals can quickly and easily create electronic claims for their patients. Simply create a new Medicare claim form, get the patient's electronic signature and submit to the Medicare program. It's the fastest, easiest way to track and submit claims for Medicare benefits. This app can be setup for HIPAA compliance.

  • Signature Capture
  • Submission Editing
  • Reference Data
  • Dispatch
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  • iPhone
  • iPad
  • Android
  • Windows
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  • Quickbooks
  • Salesforce
  • Google Docs
  • Dropbox
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Don't take our word for it...

“I’m not a tech guy and I was able to pick this thing up in probably an hour, and actually start to build apps. I’ve done them over lunch when I’ve gotten frustrated with a process that didn’t exist in our company. So for non tech people who’ve got a problem, the support here is awesome and I’d recommend it to anybody, not just in our industry.”

Dave Kramer, PennLine Service

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