-40%
CMS 1500 (02/12 Version) 2500 Single Sheets. Insurance Billing Forms, HCFA 1500
$ 31.67
- Description
- Size Guide
Description
Brand New!CMS 1500 (02/12 Version) 2500 Single Sheets. Insurance Billing Forms, Lasercut
The Centers for Medicare & Medicaid Services (CMS) approved a new CMS-1500 form (02/12) to replace the previous form (08/05). Fully updated with the latest revisions, the new CMS-1500 form is 100% compliant and printed to exact specifications for layout, paper and ink.
Approved CMS-1500 form (02/12) to replace the previous CMS form (08/05)
Fully updated with the latest revisions, the new CMS-1500 form is 100% compliant and printed to exact specifications for layout, paper and ink.
All forms are government approved CMS-1500 to serve federal programs and private insurers as a universal claim form.
Approved OMB-0938-1197 (02/12). Payers will begin to accept these forms starting January 6th, 2014. And will only accept this version as of April 1st, 2014
Jam-free performance and are printed in
OCR-scannable red ink
. All forms are government approved CMS-1500 to serve federal programs and private insurers as a universal claim form.
2500 Single Sheets - for Laser/Inkjet Printers or Handwritten
(02/12 Version)
Approved OMB-0938-1197
Meets all Government Standards
Factory Sealed
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