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Required for healthcare providers to bill a patient's insurance company for reimbursement of medical claims. - 500 Sheets - Made in USA
CMS-1500 (version 02/12) replaces form (version 08/05) - 1-Part Laser Form CMS-1500 Printed in Red Ink
Each form must have accurate content and conform to the Health Insurance Portability and Accountability Act (HIPAA). - Developed in conjunction with all the governing agencies, including the National Uniform Claim Committee (NUCC), the National Uniform Billing Committee (NUBC), the CMS Centers for Medicare and Medicaid Services, the Health and Human Services Agency, and the American Hospital Association.
New Version 02/12 (APPROVED OMB-0938-1197) - Size 8-1/2" x 11" for Laser and Inkjet Printers - Starting 04/04/14 Medicare will accept this Version 02/12 "ONLY"
Forms must adhere to strict printing standards that govern the layout, paper and ink. - 20-lb paper with OCR "dropout" red ink for greater scanning accuracy.
What People Are Saying
Good buy. Cheaper than office Max. By: iggybudd
Use for billing insurance at work. Order came quickly.
Forms are great for billing By: Norm
Arrived quickly and these forms are just what l needed for billing. Good price too.
Fast and accurate By: Eddie
saved my butt, these came fast and look great. I use them all the time.
Five Stars By: O. S.
Exactly what was needed.
Five Stars By: T Dunn Billing
Exactly what I ordered. exactly what I needed
Five Stars By: Gregory
Five Stars By: D
Works as advertised ....
Cheaper 1500 CMS forms then I have found. By: PT
10/10 will buy again Because I have claims to bill ... By: J Solognier
10/10 will buy againBecause I have claims to bill.