CMS 1500 Claim Forms

CMS 1500 Claim Forms"New" HCFA (Version 02/12) - Health Insurance, Laser Cut Sheet - 500 Sheets
- 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
Country USA
Brand Prime Business Checks
Manufacturer Prime Business Checks
Binding Office Product
ItemPartNumber 3973412
Model 3973412
Size 1500
UPCs 635341343686
EANs 0710473507035
ReleaseDate 0000-00-00

Country	USA
Brand	Prime Business Checks
Manufacturer	Prime Business Checks
Binding	Office Product
ItemPartNumber	3973412
Model	3973412
Size	1500
UPCs	635341343686
EANs	0710473507035
ReleaseDate	0000-00-00

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

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