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CMS-1500 Health Insurance Laser Cut Forms, 1-Part, Box Of 2,500 Item # 798946 OfficeMax # 22391546

CMS-1500 Health Insurance Laser Cut Forms, 1-Part, Box Of 2,500

Satisfy 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).  Providers should check with their payer and/or clearinghouses to determine which version they will accept.
  • 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. 
  • Corresponding envelopes sold separately. 

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Item # 798946 
Manufacturer # CMSLC  
number of parts 1
eco-label/standard SFI Fiber Sourcing
double-sided printing no
manufacturer TFP Data Systems
quantity 2,500

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