Paula Said:

I need a copy of hcfa 1500?

We Answered:

Suzanne's copy of the form will work, but if you'd like one that you don't have to white out the descriptions on, you can try here:

https://www.medmutual.com/member/forms/c…

Note - this insurer requires a login to access the forms, but you'll see that there's the option to preview the member's section using the "Jane Doe" account. You can print the form you need that way.

(Just be sure to insert your own insurer's address rather than leaving this insurer's logo visible!)