Which form is used specifically to submit physician and professional service claims to Medicare?

The form specifically used to submit physician and professional service claims to Medicare is the CMS 1500. This form is designed for billing various healthcare providers, including physicians, non-physician practitioners, and other healthcare professionals. It allows healthcare providers to report services, procedures, and supplies provided to patients, making it essential for accurate billing and reimbursement.

The CMS 1500 form includes critical information such as the patient's demographic details, provider details, diagnosis codes, and the services rendered. Accurate completion of this form is crucial for processing claims with Medicare efficiently, ensuring that claims are submitted in accordance with the guidelines established by Medicare.

The other forms mentioned in the options serve different purposes. The CMS 1000 does not correspond to a standard form used in the Medicare billing process. The UB-04 form is utilized for institutional claims, typically submitted by hospitals and other facility-based providers, for services provided to patients. The Medical Claim Form 5010 is not specific to Medicare and is more generic, often used for electronic claims submission in various contexts. Thus, the CMS 1500 is the correct choice for submitting physician and professional service claims to Medicare.