CMS-1500 · dental insurance claims

CMS-1500 filing software for dental insurance specialists.

Stampwright automates the CMS-1500 form end-to-end — patient intake PDF and procedure notes (CSV/Excel) in, every Box 1–33 cited, every field cross-checked against ADA, Medicare, and NUCC, file-ready packet out. Stop chasing payer rejections on misfilled fields.

Join the dental waitlist See how it works

Same-business-day reply with pilot scope and a quote.

How it works

Document ingestion. Citation-backed fill. Cross-checked submission.

Three steps that turn the CMS-1500 from the form a specialist rebukes into a packet a specialist signs. Every figure pinned to a source line. Every Box checked against the live rule set.

Step 01
Document ingestion
Drop the patient intake PDF and procedure notes (CSV or Excel); Stampwright OCRs, classifies, and pins every figure to a citation.
Step 02
Citation-backed field fill
Every CMS-1500 box 1–33 populated from a source line, with the citation on hover. Reviewers see a draft, not a guess.
Step 03
Cross-checked submission
Live ADA / Medicare / NUCC rule mirror; pass / warn / fail per field; file-ready packet your specialist signs without redoing the middle.

See it work

See it work on one CMS-1500 dental claim.

Two synthetic source documents → every Box 1–33 cited → live ADA / Medicare / NUCC cross-check. HIPAA-safe synthetic Jane Q. Sample. Synthetic data only on the demo; the rule mirror is live.

One CMS-1500 claim — auto-filled, cross-checked

Demo · HIPAA-safe synthetic data

The CMS-1500 dental claim, end-to-end.

Two intake documents feed every Box 1—33. Each value carries an inline source citation. Edits re-run the cross-check against the latest ADA & Medicare rule set; the report flags pass / warn / fail in real time.

Live results

✓ 0 pass

! 0 warn

✗ 0 fail

Open the report

Source documents that drove every field

Source documents

Two docs. Every field.

The intake document identifies the patient and the insurance program; the procedure notes identify the services, charges, and providers. Each highlighted span is cited by at least one CMS-1500 box.

Continue to the form Skip to the report

What to look for

· Highlighted spans in each source line.
· Hover a span to see the Box it was extracted into.
· Click a Box number to jump to the form.

Explore

Take the demo deeper.

Try it on your own files.

Drag a patient intake PDF and procedure notes into the drop zone; CMS-1500 boxes populate with inline source citations.

Open the drop zone

The full filing package, side-by-side.

Every Box 1–33 populated from the intake + procedure documents, with the per-field ADA / Medicare / NUCC cross-check report.

Open the filing view

Three tiers, one rule mirror.

Solo $200/mo, Team $500/mo, Multi-seat $2,000/mo — same source-cited extraction and cross-check on every plan.

Open pricing

First filings

Bring one CMS-1500 form — we'll automate it before your next deadline.

We onboard dental-insurance specialists one at a time, with a clear success criterion: a file-ready packet your specialist signs without redoing the middle. Drop your email and we will be in touch.

Join the dental waitlist

Same-business-day reply with pilot scope and a quote.

About the CMS-1500 form

The CMS-1500 is the standard paper/electronic claim form non-institutional healthcare providers — including dental practices — file to bill Medicare, many state Medicaid programs, and a long list of commercial payers. The 33 numbered boxes carry patient, policy, diagnosis, service-line, and provider-credential fields that must match the payer's NUCC-published instructions, the ADA Current Dental Terminology code set, and (when Medicare-adjacent) Medicare's own benefit-policy and place-of-service rules. The form's reputation among billing staff is unforgiving: a misfilled Box 17a (referring provider NPI), a stale ADA code, a missing diagnosis pointer, or a payer-specific carve-out is enough to bounce the claim and start the resubmit clock. Stampwright automates the parts that bounce the claim — drag in intake and procedure notes, every Box 1–33 is filled from a cited source line, every field is cross-checked against ADA, Medicare, and NUCC before the packet ships.

Per-box reference

Every Box, 1–33, with its own field guide.

The thirty-three numbered boxes on the CMS-1500 (02/12) form, each on its own page — the official field, what goes there, the common mistakes that bounce claims, and the matching cross-check rule on /rules.