CLAIM FORMS, FILLED FROM THE GRID

One form holds six lines.
Your week held nine.

So line seven starts a B form on its own, line thirteen starts a C form, and each one comes out a complete claim — full claimant and provider blocks, its own total charge, its own receivable row. Filled from the entries you already typed, with the right units, the right level suffix and the right payer header.

No card. No contract. Your data stays on your computer.
The half-hour that should not exist

You get to line six and the week is not finished.

So you start a second form. Retype the name, the claim number, the date of birth, the address, the tax ID, the provider block. Split the totals by hand and hope you carried them correctly. Then file both under one entry in the Bill Tracker — and three weeks later the check covers form A only, and “partially paid” becomes a thread you have to hold in your head until October.

The six-line limit is on the form, not on your week. It should cost you nothing.

Service lines in the billing week14
Form Alines 1–6
Form Blines 7–12
Form Clines 13–14
Receivable rows opened3

Each overflow form is a whole CMS-1500, not a continuation sheet: complete claimant, insured, diagnosis and provider blocks, its own six service lines, its own Box 28 total.

And each one gets its own receivable row, because bill review processes forms separately and that is how the checks come back. “The week is partly paid” is almost always “form B has not paid yet” — and you should be able to see which.

Free tool: how does your week split? →

Proof

A finished form, from four rows of a grid.

A completed CMS-1500 generated by Med Claims Pro: Sheakley UniComp MCO in the carrier block, claim number 26-901409 in box 1a, injury date in box 15 with qualifier 439, four W-code service lines, and a total charge of $106.47.
Alonzo Ferreira’s week of 7-20-2026. Four entries in the daily grid became four service lines — W3207, W3207, W3220, W3230 — with units entered as 0.2, 0.5, 0.1 and 0.5 and printed as 2, 5, 1, 5. Total charge $106.47, matching his row on the weekly billing screen to the cent. Signed and dated the week-ending Friday. (Invented names and provider; real codes, real form, real MCO.)
Where every box comes from

Nothing on the form is typed on the form.

Every field is already somewhere — in the client record you set up once, or in the entries you made during the week. The form is a view of them.

On the formWhat goes in itWhere it comes from
Carrier block (top right)The payer’s name, address and faxThe client’s MCO, carrier or TPA
Box 1aThe claim number, e.g. 26-901409The client record — typed once, when you opened the case
Boxes 2, 3, 5Name, date of birth, address including the apartment or suite lineThe client record
Box 15Date of injury, with qualifier 439 — Box 14 stays blankThe client record
Box 21Diagnosis codes, validated as ICD-10 before they can be savedThe client record
Box 24ADates of service, one line per activityThe daily grid
Box 24DThe service code with its level suffix — W3207W2 for a Level 2 caseThe code plus the case’s level
Box 24FCharges, per lineUnits × the rate in force on the date of service
Box 24GUnits, converted the way the form wants them0.1 becomes “1”; 23 miles stays “23”
Box 28Total charge for this form — not for the weekThe lines on this form only
Box 31Signature and dateDated the week-ending Friday, the way the week was billed
Box 33Billing provider block, NPI and tax IDYour practice settings

Box behaviour shown for Ohio BWC vocational rehabilitation billing, current as of July 2026 — verify with the Ohio Bureau of Workers’ Compensation or your MCO. Other states’ forms and qualifiers are configured during onboarding.

The three things that go wrong by hand

Units, levels, and the payer header.

Units, converted once and correctly

Time-based codes go onto the form multiplied by ten: 0.1 units becomes “1”, 0.5 becomes “5”, 1.2 becomes “12”. Count-based codes — mileage, outcome payments — go on as they stand. You never do that arithmetic, and it is never done twice differently on two forms of the same week.

The level suffix, from the case

A leveled code bills as its base at Level 1 and with the suffix above it — W3207 at $81.90, W3207W2 at $84.40. The case carries the level, so the form carries the suffix, so the payer’s bill review does not kick it back.

Ohio rates current as of July 2026 — verify with Ohio BWC.

The right payer, every time

The client’s MCO decides the carrier block and the template. Ohio’s managed-care organisations are packaged; a payer outside the packaged set still produces a correct form — the app fills a blank CMS-1500 and stamps that payer’s own carrier block onto it, so a new MCO or a self-insured employer never blocks a bill.

After it is filled

Checked, filed, and turned into money you can track.

Verified before it leaves

Check & fix runs the week before anything is sent: missing claim numbers, an address block that would print blank, entries added after the form was generated, totals that no longer agree. It itemises what it corrected instead of just clearing the warning.

Filed your way

The PDF lands in that client’s CMS 1500 folder under your naming convention — the Monday date, with overflow forms suffixed, e.g. “7-20-2026 B.pdf”. Printable as a batch when you would rather sign a stack.

Sent with proof

The packet — cover sheet, claim form, tracking log — faxes from your own account, and the confirmation files itself into the client folder as timely-filing evidence. How sending works →

One receivable per form

Each form opens its own tracked bill, so a check that pays A and not B shows you exactly that. Accounts receivable →

The log goes with it

The weekly tracking log is generated from the same entries, so the narrative behind the bill always covers exactly the lines on the bill. Tracking logs →

Ordinary PDFs

Real PDF claim forms in your own folders, openable in any reader, printable on any printer, yours whether or not you are still a subscriber.

Objection

“My payer wants its own form, and my state is not Ohio.”

Then that is what onboarding configures. The CMS-1500 is the common case in workers’-comp vocational rehab, but the machinery underneath is: take the week, apply the payer’s rules, produce that payer’s document, split it when it overflows, and open a receivable per document.

Nurse case managers bill the same week as an itemised invoice rather than a claim form, and that works in all fifty states today. The invoice version →

On e-billing: today it is fax with a filed confirmation, portal-assisted, and paper. Direct electronic submission for the mandate states is on the roadmap. We will tell you when it ships and not before.

Configured during onboarding, included in every plan

Your payers
Each MCO, carrier, TPA or self-insured employer with its own template and carrier block.
Your state
The form, the codes, the unit convention and the filing clock for where you work.
Your provider block
NPI, tax ID, address, signature line — entered once.
Your file names
Including how you already suffix overflow forms.

Fifteen minutes, your state’s codes on screen — bring one real week and watch the forms come out. Or call and ask; a person answers: 1-877-843-1717.

Questions, answered.

What happens when a week has more than six service lines?

Line seven starts a B form automatically and line thirteen a C form. Each is a complete CMS-1500 with the full claimant, insured and provider blocks, its own six service lines and its own Box 28 total — and each opens its own receivable row. See how your week splits.

Do payers really process overflow forms separately?

Frequently, yes — bill review works form by form. That is why one receivable per form matters: when the check covers form A only, you see that form B is outstanding instead of guessing at a week that is “partly paid”.

How do the units get onto the form?

Time-based codes are multiplied by ten, so 0.1 units prints as “1” and 0.5 prints as “5”. Count-based codes such as mileage print as they stand. The conversion happens on the form; you keep entering work the way your fee schedule counts it.

What date does the form get signed with?

The week-ending Friday, which is how the billing week was filed. Signatures can be applied to a batch of forms at once rather than one at a time.

Where does the injury date go — Box 14 or Box 15?

Box 15, with qualifier 439, and Box 14 is left blank. That is the convention the MCOs expect for these bills, and it is one of the small things that gets a form kicked back when it is done by hand.

My MCO is not one of the ones you package. Am I stuck?

No. A payer outside the packaged set still gets a correct claim form: the app fills a blank CMS-1500 and stamps that payer’s own carrier block onto it. A new MCO, a TPA or a self-insured employer never blocks a bill.

Can I print and sign a stack instead of doing them one at a time?

Yes. Print the week’s forms as a batch, and apply the signature to the batch. The PDFs are still filed individually into each client’s folder under your naming convention.

See your own week run itself.

Fifteen minutes, your state’s codes on screen — or start the trial and poke around on your own.

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