HCFA 1500 Form Printer Templates

Is your HCFA 1500 claim form not aligning properly when printing? You may need to replace the Default print template in ChiroFusion with one that matches your printer's make and model.

Select the print template from below that matches your printer's make and model and save it to your desktop. Next, go to the Billing > HCFA 1500 PRINT SETTINGS screen in ChiroFusion and upload the new template. Be sure to select the new template as the Default template before exiting the screen.

 

If the claim form is still misaligned after uploading the new template, or you do not see a template for your specific printer, you may need to manually adjust the template.

HP Print Templates

  1. HP LASER JET PRO M127fw
  2. HP LASER JET PRO M1536DNF
  3. HP LASER JET PRO M477fw
  4. HP LASER JET PRO MFP M426FDN
  5. HP OFFICE JET PRO 400
  6. HP OFFICE JET PRO 6975
  7. HP OFFICE JET PRO 8600
  8. HP OFFICE JET PRO 8610
  9. HP OFFICE JET PRO 8625
  10. HP OFFICE JET PRO 8710

Espon Print Templates

  1. EPSON XP 330MH
  2. EPSON WF2540

Canon Print Templates

  1. CANON MX850

Brother Print Templates

  1. BROTHER TN420
  2. BROTHER MCF L2700DW