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ComplyRight CMS-1500 Health Insurance Claim Form (02/12), Laser-Cut Sheet, 8 1/2" x 11", White, Case of 250

Product Number: ODFN486182
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ComplyRight CMS-1500 Health Insurance Claim Form (02/12), Laser-Cut Sheet, 8 1/2" x 11", White, Case of 250
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.
  • SFI Certified — Certified to meet SFI standards.
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  • Acid Free
    TRUE
  • Binding Type
    Perfect
  • Brand Name
    ComplyRight
  • Country of Origin
    US
  • Features
    Acid Free
  • Manufacturer
    TRUJILLO & SONS INC.
  • Manufacturer Part Number
    CMS12LC250
  • Number of Holes Punched
    0
  • Number of Parts
    1
  • Packaging
    250
  • Product Line
    CMS-1500 Health Insurance Claim Forms
  • Product Type
    Medical Claim Form
  • Quantity
    250
  • Refurbished
    N
  • Sheet Size
    Letter (8-1/2" x 11")

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