Windows .Net - CMS 1500 Form

I need a CMS 1500 Form (used by healthcare providers to submit claims to insurance companies) developed in Windows .Net 1.X using C#.

The form must look and print exactly like the real form. (Sample available here, but real form is in red color:

[url removed, login to view])

The form should be populated from variables / paramteres, and should be printed with or without the form. In other words, I may want the form to print on a pre-printed CMS 1500 form or have both the form and the data print out together.

I will be using the source code to interface with another application that will provide the data variables to populate the form.

You can also download a trial version of similar software at [url removed, login to view] (This is not my software, please respect their license agreement when using).

Skills: .NET

See more: cms 1500 net, source net, print out source, net by need, healthcare insurance, gov com, cms, windows form cms, cms net form, print cms 1500 form net, HCFA, out source net, windows net application, windows form, windows 2008, software net, respect, red-x, insurance application, healthcare data, claims, c# windows form, c windows form, form submit php, php 2008 windows

About the Employer:
( 0 reviews ) Charlotte, United States

Project ID: #228762

8 freelancers are bidding on average $556 for this job


Please View the PM

$600 USD in 14 days
(3 Reviews)

Please check my PMB

$750 USD in 15 days
(0 Reviews)

I don't know the specific form but have done work of this kind before. My bid is allowing for an expectation of some analysis needed but could be reduced post-work.

$500 USD in 10 days
(0 Reviews)

Please check my PMB, thanks

$250 USD in 1 day
(0 Reviews)

Hello, I'm a .NET developer which has been working with the technology for more than 4 years developing projects of every kind. Although, I don't know the form, it's a typical application to print out data in a specifi More

$750 USD in 7 days
(0 Reviews)

We'll get it [login to view URL] check the PMB.thanks.

$500 USD in 20 days
(0 Reviews)

Hello Sir/Madam, We are in to a telecom software company dedicated to web based services and located in the southern part of Asia that is India. We specialize in providing high technology, end to end solutions in we More

$599 USD in 15 days
(0 Reviews)

I can do this.

$500 USD in 10 days
(0 Reviews)