Submit CMS-1500 Claims

For providers whose Midlands Choice claim volume isn't sufficient for electronic submission to be feasible, we strongly encourage utilizing our online CMS-1500 claim form instead of paper.  In addition to saving time and postage costs, using this online method helps ensure that you are submitting all the information necessary for automatic repricing of your claim.  You may also use this form for submitting corrected claims.

Submit CMS-1500 Claims Online