CMS-1500 Claim Form, Laser-Cut Sheet, 8 1/2” x 11”, White, Pack Of 250

Item # 486182

$31.99 / pack

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  • ✓ Free delivery on qualifying $35.00 orders
  • Est. Delivery 7-10 business days
  • ✓ In Stock
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Reg. Price $31.99
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  • Description
    • 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).
    • 20-lb paper with OCR "dropout" red ink for greater scanning accuracy.
    • Corresponding envelopes sold separately.
    • SFI Certified — Certified to meet SFI standards.
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