Search
Categories

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

New 2012 CMS-1500 Insurance Claim Form
CMS-1500 1 Part Form (02/12)
 
List Price: $145.00
Your Price: $95.00
You Save $50.00!
Unit Qty: 2500
Unit: case


Product Code: CMS-1CONT-12
Qty:

Description Freight, Returns & Sales Tax Policies
 
New (02/12)CMS-1500 Form
9-1/2”W x 11”H for continuous printers and is a one part form.
Printed in red, OCR scannable ink in compliance with government standards

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.

Barcoding is no longer a part of this form.
Colors & Features
  • 9-1/2”W x 11”H

Products Frequently Bought Together
End Tab Expansion Pockets Outguides 11 pt Manila 2 Ply End Tab Alpha Label Barkley Match
Your Price: $79.00

Add Free Shipping
Your Price: $79.50

Add Free Shipping
Your Price: $48.95

Add
Your Price: $13.95

Add
<!001>End Tab Expansion Pockets Outguides Sturdy Rigid 11 pt Manila 2 Ply End Tab Folder Barkley FABKM Match
Custom 6 Tab Fileback Set Heavy Duty Vinyl Stick-On Pockets QuickStrip File Folder Labels, 6-up on 8.5 x 11 Sheet Times 2 Speed Cabinet
Your Price: $3.18

Add Free Shipping
Your Price: $55.95

Add Free Shipping
Your Price: $185.00

Add Free Shipping
Your Price: $4,500.00

Add
<!004>Custom 6 Tab Fileback Set Heavy Duty Vinyl Stick-On Pockets QuickStrip File Folder Labels, 6-up on 8.5 x 11 Sheet Times 2 Speed Files
ALLERGY LABEL Poly Stick-On Pockets Month Label ACS Sliding Lateral Track
Your Price: $10.95

Add Free Shipping
Your Price: $45.95

Add Free Shipping
Your Price: $10.95

Add Free Shipping
Your Price: $6,500.00

Add Free Shipping
ALLERGY LABEL Poly Stick-On Pockets Month Label ACS Lateral Track Movable Shelving Systems
36" Wide File Shelving Bilingual Privacy Patient Sign-In Custom 6 Tab Divider Set Radiology Jacket
Your Price: $725.00

Add Free Shipping
Your Price: $85.95

Add Free Shipping
Your Price: $2.43

Add Free Shipping
Your Price: $185.00

Add Free Shipping
36 Single Entry Letter Size 4 Post Starter Unit Bilingual Privacy Patient Sign-In <!004>Custom 6 Tab Divider Set Radiology Jacket Non-Color Coded
14 pt Manila 2 Ply End Tab TAB Match Year Label Medi-Clip/Docu-Clip Custom 8 Tab Poly Divider Set
Your Price: $56.95

Add Free Shipping
Your Price: $13.95

Add
Your Price: $49.95

Add Free Shipping
Your Price: $4.69

Add Free Shipping
Heavy Duty 14 pt Manila 2 Ply End Tab Folder Year Label Docuclip Fastener <!010>Custom 8 Tab Poly Divider Set
Double Ply Top Tab Pocket 11 pt 2 Ply Color End Tab Folders Numeric Label
Your Price: $79.95

Add Free Shipping
Your Price: $240.00

Add Free Shipping
Your Price: $22.95

Add Free Shipping
Double Ply Top Tab Pocket 11pt Reinforced Solid Color End Tab Folders Numeric Label

Share your knowledge of this product with other customers... Be the first to write a review

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


Veterinary Label
Vertical Binder Chart Carts
<!002>Custom 18 Tab Poly Divider Set
Narcotic Locking Cabinet
Veterinary Label
Vertical Binder Chart Carts
Custom 18 Tab Poly Divider Set
Narcotic Locking Cabinet
$22.95
$595.00
$28.92
$195.00