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


 
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Unit Qty: 500
Unit: pack
Overall Dimensions: 8 1/2" x 11"


Product Code: CMSLC-500-12

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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.


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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.

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