Secondary reference directory

Free Government Medical Claim & Reimbursement Forms

Find Medicare, TRICARE, CHAMPVA, federal workers' compensation and VA reimbursement or appeal forms. These links are separate from our paid CMS-1500 professional claims software.

Free Billing Tools for Professionals CMS-1500 Printing Software

Medicare forms

CMS-1490S — Patient Request for Medical Payment
CMS-20027 — Redetermination Request
CMS-20033 — Reconsideration Request
CMS-1696 — Appointment of Representative

Workers' compensation forms

OWCP-915 — Medical Reimbursement
OWCP-957 — Travel Reimbursement

VA & CHAMPVA forms

VA 10-3542 — Travel Reimbursement
VA 10-7959A — CHAMPVA Claim

TRICARE forms

DD 2642 — Patient Medical Payment Request
DD 2527 — Third Party Liability

Before using a government form

Confirm that the form is current and appropriate for your program or payer. Some workflows may require mailing, appeals documentation, beneficiary consent or additional materials. The pages linked above provide free form tools; eligibility and filing rules must be checked with the administering agency.

Billing professionals looking to produce CMS-1500 / HCFA-1500 paper claims or 837P electronic files should instead use the billing tools and claim software sections.