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  • Overview
    • About Document Understanding™
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  • Getting started
    • Choosing the deployment type
    • Enable Document Understanding™
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  • Model Details
    • Public endpoints
    • Pre-trained document types
      • 1040 - document type
      • 1040 Schedule C - document type
      • 1040 Schedule D - document type
      • 1040 Schedule E - document type
      • 1040x - document type
      • 3949a - document type
      • 4506T - document type
      • 709 - document type
      • 941x - document type
      • 9465 - document type
      • ACORD125 - document type
      • ACORD126 - document type
      • ACORD131 - document type
      • ACORD140 - document type
      • ACORD25 - document type
      • Bank Statements - document type
      • Bills Of Lading - document type
      • Certificate of Incorporation - document type
      • Certificate of Origin - document type
      • Checks - document type
      • Children Product Certificate - document type
      • CMS 1500 - document type
      • EU Declaration of Conformity - document type
      • Financial Statements - document type
      • FM1003 - document type
      • I9 - document type
      • ID Cards - document type
      • Invoices - document type
      • Invoices2 - document type
      • Invoices Australia - document type
      • Invoices China - document type
      • Invoices Hebrew - document type
      • Invoices India - document type
      • Invoices Japan - document type
      • Invoices Shipping - document type
      • Packing Lists - document type
      • Payslips - document type
      • Passports - document type
      • Purchase Orders - document type
      • Receipts - document type
      • Receipts2 - document type
      • Receipts Japan - document type
      • Remittance Advices - document type
      • UB04 - document type
      • US Mortgage Closing Disclosures - document type
      • Utility Bills - document type
      • Vehicle Titles - document type
      • W2 - document type
      • W9 - document type
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Document Understanding Modern Projects User Guide

Last updated Mar 24, 2026

CMS 1500 - document type

Overview

CMS-1500 is a standard form for medical claims used by non-institutional providers or suppliers to bill Medicare carriers and durable medical equipment regional carriers (DMERCs). It is also used for billing of some Medicaid State Agencies.

This ML package is trained to automatically detect key information and to extract relevant data from this kind of form. It has over 80 fields covering all types of info that the form can contain.

Particularities

The model automatically detects data such as:

  • Payer Name and Address.
  • Patient Address, Telephone, DoB.
  • Insurer Name and Address.
  • Date of Illness, Claim Information, Hospitalization Date.
  • Nature of Illness, Diagnosis Nature, Date of Service, Place of Service.

Extracted fields

Note: If you are using using public endpoints, such as https://du.uipath.com/ie/invoices, all fields are available. However, if you are using custom-trained extractors, the availability of extracted fields is dependant on the version you are currently using.
You can also check the list of fields and types on any endpoint in the /info/model object. To access this, simply add /info/model to any endpoint, like so: https://du.uipath.com/ie/invoices/info/model. For an enhanced reading experience of the fields list, it's recommended to install a JSON viewer extension in your browser.
Table 1. List of extracted fields for CMS 1500
Display NameField NameField TypeContent Type
Payment Namepayment-nameregularstring
Payment Addresspayment-addressregularstring
Health Insurance Coverage Typehealth-insurance-coverage-typeregularstring
Insured's I.D Numberinsured-s-i-d-numberregularstring
Patient's Namepatient-nameregularstring
Patient's Addresspatient-addressregularstring
Patient's Birthdatepatient-birthdateregulardate
Patient Relationship To Insuredpatient-relationship-to-insuredregularstring
Insured's Nameinsured-nameregularstring
Insured Addressinsured-addressregularstring
Other Insured's Nameother-insured-nameregularstring
Other Insured's I.D.other-insured-idregularstring
Patient's Condition Related To Employmentcondition-employmentregularstring
Patient's Condition Related To Auto Accidentcondition-auto-accidentregularstring
Auto Accident Stateauto-accident-stateregularstring
Insured Policy Group Or Feca Numberinsured-policy-feca-idregularstring
Insured's Birth Dateinsured-birth-dateregulardate
Insured's Genderinsured-sexregularstring
Other Claim IDother-claim-idregularstring
Insurance Plan Nameinsurance-plan-nameregularstring
Another Health Benefit Plananother-health-planregularstring
Claim Codesclaim-codesregularstring
Other Insurance Plan Nameother-insurance-planregularstring
Patient's Signaturepatient-signatureregularstring
Patient's Signature Datepatient-signature-dateregulardate
Insured's Signatureinsured-signatureregularstring
Current Health Condition Datehealth-condition-dateregulardate
Current Health Qualifiercurrent-health-qualifierregularstring
Other Health Condition Dateother-health-condition-dateregulardate
Other Health Condition Qualifierother-health-condition-qualifierregularstring
Patient Unable To Work Date Fromunable-to-work-date-fromregulardate
Unable To Work Tounable-to-work-toregulardate
Name Of Referring Providername-of-referring-providerregularstring
Referring Provider IDreferring-provider-idregularstring
Referring Provider NPIreferring-provider-npiregularstring
Hospitalization Dates Fromhospitalization-dates-fromregulardate
Hospitalization Dates Tohospitalization-dates-toregulardate
Additional Claim Informationadditional-claim-informationregularstring
Services Outside Labservices-outside-labregularstring
Chargesoutside-lab-chargesregularstring
Diagnosis Codesdiagnosis-codesregularstring
ICD Indicatoricd-indicatorregularstring
Resubmission Coderesubmission-coderegularstring
Original Reference Codeoriginal-reference-coderegularstring
Prior Authorization Numberprior-authorization-numberregularstring
Patient's Account Numberpatient-account-numberregularstring
Total Chargetotal-chargeregularstring
Amount Paidamount-paidregularstring
Signature Of Physician Or Suppliersignature-of-physician-or-supplierregularstring
Physician Or Supplier Signature Datephysician-supplier-signature-dateregulardate
Service Facility Location NPIservice-location-npiregularstring
Service Facility Location ID Numberservice-location-idregularstring
Billing Namebilling-nameregularstring
Billing Addressbilling-addressregularstring
Billing Phone Numberbilling-phone-numberregularstring
Billing NPIbilling-npiregularstring
Billing IDbilling-idregularstring
Patient's Phone Numberpatient-phone-numberregularstring
Insured Phone Numberinsured-phone-numberregularstring
Patient's Condition Related To Other Accidentcondition-other-accidentregularstring
Reported ID Numberreported-id-numberregularstring
Assignment Acceptanceassignment-acceptanceregularstring
Patient Genderpatient-genderregularstring
Federal Tax ID Numberfederal-tax-id-numberregularstring
Service Facility Nameservice-facility-nameregularstring
Service Facility Addressservice-facility-addressregularstring
Medical Service Details - Date Of Service Fromdate-of-service-fromitemsdate
Medical Service Details - Date Of Service Todate-of-service-toitemsdate
Medical Service Details - Place Of Serviceplace-of-serviceitemsstring
Medical Service Details - CPT/HCPCScpt-hcpcs-numberitemsstring
Medical Service Details - Modifiermodifieritemsstring
Medical Service Details - Diagnosis Pointerdiagnosis-pointeritemsstring
Medical Service Details - Charges Amountchargesitemsstring
Medical Service Details - Days Or Unitsdays-or-unitsitemsstring
Medical Service Details - EPSDT Codesepsdt-codesitemsstring
Medical Service Details - EPSDT Family Planningepsdt-family-planningitemsstring
Medical Service Details - ID Qualifierid-qualifieritemsstring
Medical Service Details - Rendering Provider NPIrendering-provider-npiitemsstring
Medical Service Details - Rendering Provider Other IDrendering-provider-other-iditemsstring
Medical Service Details - Supplemental Informationsupplemental-informationitemsstring
Medical Service Details - Emergency Indicatoremergency-indicatoritemsstring

Samples

Here are some samples of a filled-in form:

  • Overview
  • Particularities
  • Extracted fields
  • Samples

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