FAQ-Forms Invoices Handbooks | Department of Human Services | Commonwealth of Pennsylvania
Source: https://www.pa.gov/agencies/dhs/resources/for-providers/faq-forms-invoices-handbooks
Archived: 2026-04-23 17:34
FAQ-Forms Invoices Handbooks | Department of Human Services | Commonwealth of Pennsylvania
FAQ: Forms, Invoices, and Handbooks
Medicaid Providers can order Medical Assistance forms via the
Medical Assistance Provider Forms
page on the Department of Human Services website. All Medical Assistance forms can be found in
Form Search
.
The CMS-1500 (HCFA-1500) claim form can be purchased from several different vendors, including the U.S. Government Printing Office at 202-512-1800 or the American Medical Association Unified Service Center at 800-621-8335. The form can also be purchased via the
CMS Forms
website.
The American Dental Association Version 2024 claim form can be purchased by calling the ADA at 800-947-4746 or visiting the
ADA Online Catalog
.
The UB-04 claim form can be purchased by calling the Standard Register Company. The telephone number can be found in the yellow pages of your telephone directory. The UB-04 can also be purchased online at various websites.
Visit
PROMISe Provider Handbooks and Billing Guides
.
FAQ: Forms, Invoices, and Handbooks
Medicaid Providers can order Medical Assistance forms via the
Medical Assistance Provider Forms
page on the Department of Human Services website. All Medical Assistance forms can be found in
Form Search
.
The CMS-1500 (HCFA-1500) claim form can be purchased from several different vendors, including the U.S. Government Printing Office at 202-512-1800 or the American Medical Association Unified Service Center at 800-621-8335. The form can also be purchased via the
CMS Forms
website.
The American Dental Association Version 2024 claim form can be purchased by calling the ADA at 800-947-4746 or visiting the
ADA Online Catalog
.
The UB-04 claim form can be purchased by calling the Standard Register Company. The telephone number can be found in the yellow pages of your telephone directory. The UB-04 can also be purchased online at various websites.
Visit
PROMISe Provider Handbooks and Billing Guides
.