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.
FREIGHT CHARGES
ACS always confirms to our customers total amount to be charged including freight costs before order
is processed.
RETURNS
There is a 15 day return policy. Customers have
15 days to return products after they have received them. Products
are not returnable after this time. Returns are subject to a restocking fee of 25%. If the
return is a result of our error, we will issue a call tag.
We
grant returns on products only if the product and the packaging are in
re-sellable condition.
Custom products are not
returnable.
SALES TAX
ACS charges sales tax if you are a Texas resident, Texas State Sales Tax will be added at the
time your
order is invoiced.
If you are tax exempt you must provide a
Texas Sales Tax Exemption Certificate.
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CMS 1500 
