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

New 2012 CMS-1500 Insurance Claim Form
CMS-1500 Laser Part Form (02/12)
 
Buy 3 Cases and Shipping is Free.
List Price: $155.00
Your Price: $95.00
You Save $60.00!
Unit Qty: 2500
Unit: case
Overall Dimensions: 8 1/2" x 11"


Product Code: CMSLC-12

Shipping

Shipping Charge*:
Order 1 - 2 Boxes or Packs Shipping Cost is $19.95
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.
  • 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



Products Frequently Bought Together
36" Wide File Shelving ACS Sliding Lateral Track Outguides Radiology Jacket
Your Price: $725.00

Add Free Shipping
Your Price: $6,500.00

Add Free Shipping
Your Price: $79.50

Add Free Shipping
Your Price: $185.00

Add Free Shipping
36 Single Entry Letter Size 4 Post Starter Unit ACS Lateral Track Movable Shelving Systems Outguides Radiology Jacket Non-Color Coded
End Tab Expansion Pockets Poly Stick-On Pockets Heavy Duty Vinyl Stick-On Pockets 11 pt Manila 2 Ply End Tab
Your Price: $79.00

Add Free Shipping
Your Price: $45.95

Add Free Shipping
Your Price: $55.95

Add Free Shipping
Your Price: $48.95

Add
<!001>End Tab Expansion Pockets Poly Stick-On Pockets Heavy Duty Vinyl Stick-On Pockets Sturdy Rigid 11 pt Manila 2 Ply End Tab Folder
ALLERGY LABEL Times 2 Speed Cabinet TAB Match Year Label 11 pt 2 Ply Color End Tab Folders
Your Price: $10.95

Add Free Shipping
Your Price: $4,500.00

Add
Your Price: $13.95

Add
Your Price: $240.00

Add Free Shipping
ALLERGY LABEL Times 2 Speed Files Year Label 11pt Reinforced Solid Color End Tab Folders
Bilingual Privacy Patient Sign-In Custom 6 Tab Fileback Set Custom 6 Tab Divider Set 14 pt Manila 2 Ply End Tab
Your Price: $85.95

Add Free Shipping
Your Price: $3.18

Add Free Shipping
Your Price: $2.43

Add Free Shipping
Your Price: $56.95

Add Free Shipping
Bilingual Privacy Patient Sign-In <!004>Custom 6 Tab Fileback Set <!004>Custom 6 Tab Divider Set Heavy Duty 14 pt Manila 2 Ply End Tab Folder
Alpha Label Barkley Match QuickStrip File Folder Labels, 6-up on 8.5 x 11 Sheet Double Ply Top Tab Pocket Numeric Label
Your Price: $13.95

Add
Your Price: $185.00

Add Free Shipping
Your Price: $79.95

Add Free Shipping
Your Price: $22.95

Add Free Shipping
Barkley FABKM Match QuickStrip File Folder Labels, 6-up on 8.5 x 11 Sheet Double Ply Top Tab Pocket Numeric Label
Custom 8 Tab Poly Divider Set Month Label Medi-Clip/Docu-Clip
Your Price: $4.69

Add Free Shipping
Your Price: $10.95

Add Free Shipping
Your Price: $49.95

Add Free Shipping
<!010>Custom 8  Tab Poly Divider Set Month Label Docuclip  Fastener

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
MEDICAL / CHIROPRACTIC
DENTAL
OFFICE PRODUCTS


$33.00
$80.00
$5.35
$48.00