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New CMS 1500 Claim Forms - 50 Sheets (02/12 Version) for Laser or Inkjet Printers

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$16.44

$ 7 .99 $7.99

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  • Approved CMS-1500 form (02/12) to replace the previous CMS form (08/05)
  • Fully updated with the latest revisions, the new CMS-1500 form is 100% compliant and printed to exact specifications for layout, paper and ink.
  • Carbonless bond paper for jam-free performance and are printed in OCR-scannable red ink
  • All forms are government approved CMS-1500 to serve federal programs and private insurers as a universal claim form.
  • Approved OMB-0938-1197 (02/12). Payers will begin to accept these forms starting January 6th, 2014. And will only accept this version as of April 1st, 2014


Stock up now. Prices are expected to rise. 1 Part Laser (50 Single Sheets - for Laser/Inkjet Printers). 02/12 Version.......... Both CMS and the NUCC have issued their transition timelines, affecting providers that accept government and private insurance. The final transition timeline for implementation of the revised CMS-1500 claim form is as follows:........ ............... January 6, 2014: Private insurance carriers and Medicare begin receiving and processing paper claims on the revised CMS-1500 claim form (02/12). ..................... January 6 - March 31, 2014: Dual-use period during which private insurance carriers and Medicare continue to receive and process paper claims submitted on either version of the form....................................................... April 1, 2014: The current claim form (08/05) is discontinued; all private insurance carriers and Medicare receives and processes paper claims submitted only on the revised CMS-1500 claim form (02/12).


Barbara B ColumbusOH
Reviewed in the United States on October 20, 2014
I bought these for my job - #wise a rip off
GBeck12
Reviewed in the United States on November 26, 2013
Forms are fine - what is there to say about forms for Medicare. I just love them. I hope I will need more.