Sending a 1500 Form

How to Send a 1500 Form

1. Create/Complete your 1500 form for a patient and save it locally onto your computer.

2. Log into the Centralis Health web portal and select New Item.

3. On the new item page, be sure the Select Recipient bubble is selected, then select Manatee County Indigent Care Program from the Select Destination dropdown. Always enter the patient's name and DOB. Choose your locally saved file, then click Send. You have now successfully sent your 1500 Form.

4. To locate a 1500 form you have sent, navigate to the Find Item page. On this page, you will filter by sent items and search by the patients last name, click Find Item and you will see all sent items on that patient.

5. All items sent to Manatee County Indigent Care are 100% electronic, so they will never fail and the tracking will always be Success. Once the county has opened/accessed your item the tracking will update to Success Read as seen by the arrow above.