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Due to the severe weather conditions anticipated to impact Bronx, Dutchess, Kings, Nassau, New York, Orange, Putnam, Queens, Richmond, Rockland, Suffolk, Sullivan, Ulster, and Westchester counties on Monday, 2/23/26, there will be no in-person hearings at Board locations in these counties.

CMS-1500 electronic submission is mandatory

CMS-1500 Electronic Forms Submission Schemas, Documentation, and Samples

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Schemas (Updated 01/08/2026)

xfs-schemas.zip - All schemas in one ZIP file (see whatsnew.txt for details on changes).

Documentation

CMS-1500 Field Table Matrix for Electronic Submission (MS Excel) (Updated 01/08/2026 )
- Mapping of CMS-1500 Element Names to Form
Submission Schema - 'submission' is root element. (Updated 10/25/2025)
Results Schema - 'results' is root element. (Updated 08/22/2006)
Submission Restrictions/Requirements - Information on packaging submission. (Updated 10/05/2009)

Samples (Updated 11/12/2021)

CompanyABC013.zip - Sample submission ZIP file.
results.xml - Sample results XML file.
xfs-javasample.zip - Sample Java code to generate XML file. (see ReadMe.txt in ZIP file)
xfs-sample.err - Sample error file.