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CMS 1500 Claim Forms'New' HCFA (Version 02/12) - Health Insurance, Laser Cut Sheet - 500 Sheets

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$28.04

$ 12 .99 $12.99

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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.


CMS 1500 Claim Forms "NEW" HCFA (Version 02/12) - Health Insurance, Laser Cut Sheet: Satisfy the NEW medical billing requirements with compliant CMS-1500 forms. * Required for healthcare providers to bill a patient's insurance company for reimbursement of medical claims. * CMS-1500 (version 02/12) replaces form (version 08/05). * Forms must adhere to strict printing standards that govern the layout, paper and 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. * 20-lb paper with OCR "dropout" red ink for greater scanning accuracy. * 500 Sheets


SJWilson88
Reviewed in the United States on July 7, 2023
The claim forms are really light in print compared to previous orders. Almost pink instead of red.
Aaron
Reviewed in the United States on November 14, 2023
We have ordered these in the past from this seller and been fine, but this latest batch the QR codes were all blurred and the when we printed the claims, the printed text did not line up correctly in the boxes. I checked with another form from an old batch that printed fine, so it is not a printer problem. It seems like a bad batch. Unfortunately I didn't open the package until after the return window.
Customer
Reviewed in the United States on February 17, 2022
Thanks for sending an extra set of forms. Much appreciated! Great company and product.
Customer
Reviewed in the United States on January 23, 2020
I love that I can order these online and so reasonably priced. Perfect solution for my busy life.
Dawn3
Reviewed in the United States on July 23, 2019
As described, prompt shipping, good quality, works perfect for getting claims paid.
Customer
Reviewed in the United States on September 18, 2017
Perfect these forms worked seamlessly with our billing program and were great quality! I had purchased these forms a few months ago from a DIFFERENT seller and the paper was thinner, red ink streaked on the back,and our template was always slightly off when importing to the forms.This seller was the best! The forms were on thicker paper, high quality! Would HIGHLY recommend!
Libra
Reviewed in the United States on July 16, 2015
Same forms used at medical practices normally purchased at big box stores for close to double the price! Excellent quality, no issues with printing. Can't beat the deal on Amazon unless you find a local independent supplier who will price match. Fortunately, I did, but this will be my back-up.
BS
Reviewed in the United States on April 4, 2015
Great value for these claim forms. They line up perfectly. 4 stars because red print is a little light.