Home > MEDICAL / CHIROPRACTIC > Medical Forms > CMS, UB-04,ADA-Medical Claim > CMS 1500 Claim Forms >

CMS-1500 Insurance Claim Form
CMS-1500 Laser Part Form (02/12)


 
FREE SHIPPING!
Buy 3 packs of this Item and get FREE SHIPPING!
Less than 3 packs Flat Shipping Rate $13.95
List Price: $65.00
Your Price: $25.00
You Save $40.00!
Unit Qty: 500
Unit: pack
Overall Dimensions: 8 1/2" x 11"


Product Code: CMSLC-500-12

Shipping

Shipping Charge*:
Order 1 - 2 Boxes or Packs Shipping Cost is $15.95
Order 3 or More Boxes or Packs Shipping is FREE!

Qty:  
Description Freight, Returns & Sales Tax Policies
 
CMS-1500 Form
8 1/2" x 11" for laser or inkjet printers
CMS-1500 forms are required for health care providers to receive reimbursements for clients, Medicare begin accepting the NEW 02/2012 version in January of 2014 and now only Accepts this version

Printed in red, OCR scannable ink in compliance with government standards
Easily get reimbursed by insurance companies with Current 02/2012 version CMS-1500 Forms (OMB-0938-1197) that are 100% compliant with HIPAA with all correct content, All printed fields will align with the correct boxes when using your templates or billing software with the ACS consistently high quality forms that are manufactured here in the USA.
  • 500 Pack
  • Red ink, and 1 Part printing style
  • 20 LB paper that easily feeds through both Laser and Ink Jet printers
  • 100 % compliant with HIPAA Act with all forms
  • Printed in the USA by US government certified printers
The new CMS-1500 (02/12) Health Insurance Claim Form accommodates the reporting of the National Provider Identifier. This new version replaces the old CMS-1500 (08/05) version.


Colors & Features




Products Frequently Bought Together
End Tab Expansion Pockets ACS QuickStrip File Folder Labels, 6-up on 8.5 x 11 Sheets (package of 600) ALLERGY LABEL Medi-Clip/Docu-Clip
Your Price: $79.00

Add
Your Price: $175.00

Add
Your Price: $10.95

Add
Your Price: $42.50

Add
<!001>End Tab Expansion Pockets ACS QuickStrip File Folder Labels, 6-up on 8.5 x 11 Sheets (package of 600) ALLERGY LABEL Docuclip  Fastener
Poly Stick-On Pockets Custom 8 Tab Poly Divider Set 36" Wide File Shelving TAB Match Year Label
Your Price: $24.00

Add
Your Price: $4.69

Add
Your Price: $725.00

Add
Your Price: $13.95

Add
Poly Stick-On Pockets <!010>Custom 8  Tab Poly Divider Set 36 Single Entry Letter Size 4 Post Starter Unit Year Label
14 pt Manila 2 Ply End Tab 11 pt Manila 2 Ply End Tab Radiology Jacket Month Label
Your Price: $45.95

Add
Your Price: $42.95

Add
Your Price: $85.00

Add
Your Price: $10.95

Add
Heavy Duty 14 pt Manila 2 Ply End Tab Folder Sturdy Rigid 11 pt Manila 2 Ply End Tab Folder Radiology Jacket Non-Color Coded Month Label
Times 2 Speed Cabinet Alpha Label Barkley Match Bilingual Privacy Patient Sign-In ACS Sliding Lateral Track
Your Price: $4,500.00

Add
Your Price: $12.95

Add
Your Price: $66.95

Add
Your Price: $6,500.00

Add
Times 2 Speed Files Barkley FABKM Match Bilingual Privacy Patient Sign-In ACS Lateral Track Movable Shelving Systems
11 pt 2 Ply Color End Tab Folders Numeric Label Custom 6 Tab Divider Set Heavy Duty Vinyl Stick-On Pockets
Your Price: $235.00

Add
Your Price: $19.95

Add
Your Price: $2.10

Add
Your Price: $36.00

Add
11pt Reinforced Solid Color End Tab Folders Numeric Label <!004>Custom 6 Tab Divider Set Heavy Duty Vinyl Stick-On Pockets
Custom 6 Tab Fileback Set Double Ply Top Tab Pocket Outguides
Your Price: $3.18

Add
Your Price: $59.50

Add
Your Price: $79.50

Add
<!004>Custom 6 Tab Fileback Set Double Ply Top Tab Pocket Outguides

Average Customer Review: Average Customer Review: 5 of 5 5 of 5 Total Reviews: 1 Write a review.

  0 of 0 people found the following review helpful:
 
5 of 5 CMS 1500 August 17, 2020
Reviewer: Solomon Ajayi from Mount Prospect , IL United States  
The product was received on time. I am first time buyer from the company.

Was this review helpful to you?


Browse for more products in the same category as this item:

MEDICAL / CHIROPRACTIC > Medical Forms > CMS, UB-04,ADA-Medical Claim > CMS 1500 Claim Forms
DENTAL > Dental Forms > Dental Claim (ADA & CMS) > CMS 1500 Claim Forms
Medical Forms and Books > Medical Claim Forms (CMS, HCFA, UB92) > CMS 1500 Claim Forms
OFFICE PRODUCTS > Forms and Books > Insurance Claim Forms (CMS, HCFA, UB92)
MEDICAL / CHIROPRACTIC > Medical Forms > CMS, UB-04,ADA-Medical Claim
DENTAL > Dental Forms > Dental Claim (ADA & CMS)
Medical Forms and Books > Medical Claim Forms (CMS, HCFA, UB92)
MEDICAL / CHIROPRACTIC > Medical Forms
DENTAL > Dental Forms
Medical Forms and Books
OFFICE PRODUCTS > Forms and Books