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New 2012 CMS-1500 Insurance Claim Form
CMS-1500 Laser Part Form (02/12)


 
List Price: $135.00
Your Price: $75.00
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Unit Qty: 2500
Unit: case
Overall Dimensions: 8 1/2" x 11"


Product Code: CMSLC-12
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.
  • Case of 2,500
  • 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



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