Fill out CMS-1500 and chiropractic billing forms in your browser

CMS-1500 claims, treatment plans, and insurance verification forms — drop fields onto any PDF, fill it in and sign, free and in your browser.

Chiropractic claims get denied for reasons unique to the specialty. Medicare covers only active, corrective manipulation — not maintenance — so the AT modifier and a clear diagnosis pointer have to be right on the CMS-1500, and the spinal CMT codes (98940–98942) depend on how many regions you treated. This free tool lets you open the CMS-1500, enter the patient and diagnosis details, the CMT codes and AT modifier, and the dates of service where they belong, sign it, and download a print-ready PDF. Nothing you type is sent anywhere — the form is filled entirely on your device.

Frequently asked questions

Does it support the CMS-1500 with chiropractic codes and modifiers?+

Yes — upload the CMS-1500 and place fields for the CMT codes (98940–98942), the AT modifier, diagnosis pointers, and dates of service. You control where every field sits.

Can I document active treatment versus maintenance care?+

You enter the AT modifier and diagnosis pointers the payer needs to see active, corrective care; the tool places exactly what you type, so nothing is assumed or auto-filled for you.

Does patient information leave my computer?+

No — the claim and everything you enter stay in your browser, which keeps patient health information inside the practice.

Filing a full schedule of claims?

dojobase can auto-fill CMS-1500s from your practice data — a claim for every patient, without the manual entry.

Open the free Fill & Sign tool →