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Item #486164

ComplyRight™ CMS-1500 Health Insurance Claim Form (02/12), Laser-Cut Sheet, 8 1/2" x 11", White, Case of 2,500

Item #486164
$72.79case

Description

    Satisfy medical billing requirements with compliant CMS-1500 forms. It's always best to have forms on hand to prevent delays. Stock up on CMS-1500 health insurance claim forms today.

    • 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.
    • This CMS-1500 claim form pack of 2500 will ensure you have plenty of forms on hand. CMS-1500 claim forms in white (pack of 2500) offer a professional look.
    • Each CMS-1500 claim form laser-cut sheet provides convenience.
    • SFI Certified — Certified to meet SFI standards.
    Specifications
    Item #486164
    Manufacturer #CMS12LC
    Color (Ink)Red
    sheet sizeLetter (8-1/2" x 11")
    number of holes punched0
    double sidedNo
    number of parts1
    carbonlessNo
    acid freeYes
    Product LineCMS-1500 Health Insurance Claim Forms
    binding typePerfect
    quantity2500
    brand nameComplyRight
    Eco Label StandardSFI Certified Fiber Sourcing
    manufacturerTRUJILLO & SONS INC.
    Product TypeMedical Claim Form
    $72.79case