Hi Tim,

Thank you for clarifying, and sharing your insights.  I will be updating the form and will send you the revised version so you can enter in 8 digits for the Date of Admission. Thank you for pointing out the hover help as well. 

Thanks again,

Dan

Hi tlaclair,

It may be that you have copy and pasted into the field or that you have a space in the field. To check, first open in Adobe Reader, them press delete, and then backspace to clear the field.  The you should be able to type in the admission date,.

Best regards,

Dan

This is a great idea, to use the fillable form on a ipad.  

Many users have have tried over the years to use on a iPad and Chromebook, but it is a limitation of the Adobe Reader  software. There has not been a solution from Adobe Reader as of yet. Currently it will not allow for filling in the fields, and saving the document the way you can on a PC or Mac. Some have tried plugins, and even other PDF software, but nothing seems reliable on these devices yet. 

Best regards,

Dan

Hi,

If you can send a scan or picture with your phone of how it prints out for you, I can adjust the template to work with your printer. 
Send to: dan@fiachraforms.com

Best regards,

Dan

Hi Juan,

The machine will not need to have bold to read it. If you the human reader of this form needs better visibility, use the zoom feature within Adobe Reader so you can see the fields easier. Hope that helps!

Dan

Hi Juan,

The font is a specific, required size on both the UB 04 and CMS 1500 claim forms to allow for it to be OCR scanned (optical character recognition) in when it is processed.  Making the font larger would also make the text difficult to fit into the fields. 

Best regards,

Dan

Hi,

Glad to see you already have your paper claims.  The download files are accessed immediately after checkout, so you may have missed that. I will send the files directly to your email as an attachment. 

Best regards,

Dan

Hi Fernando,

To print the backside (second page) be sure to open the other file in your download.  There are two versions that come to you.  One that prints both form and text (and the second page) and the other only the text.  

When printing - if it is printing the save and print button image, you are not using Adobe Reader to print.  Be sure to open the file in Adobe Reader, not Mac Preview or other PDF software.  

Hope that helps!

Dan

Hi Nicole,

It looks like you did not complete the order (it says cancelled) and so your card was not charged. 

Once you complete the checkout, you will be able to download the CMS 1500 PDF right away. 
Please try again here
https://fiachraforms.com/shop/cms-1500-single-user-billing-package/

I will then send the 200 paper claims out by mail. 

Best regards,

Dan 

In the UB 04 PDF put the CPT codes in the field 67 - A though Q is available for multiple codes. 

Best regards,

Dan