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CMS 1500 Claim Forms, New HCFA (Version 2/12), Health Insurance Laser Sheets – 500 Sheets

KWD 11.500
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Special Features

  • Required for healthcare providers to bill a patient's insurance company for reimbursement of medical claims. - 500 Sheets - Made in USA
  • New Version 02/12 (APPROVED OMB-0938-1197) - Size 8-1/2" x 11" for Laser and Inkjet Printers - Starting 04/04/14 Medicare will accept this Version 02/12 "ONLY"
  • 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.
  • CMS-1500 (version 02/12) replaces form (version 08/05) - 1-Part Laser Form CMS-1500 Printed in Red Ink
  • Pack of 500 Sheets / Forms

Description

CMS 1500 Claim Forms, New HCFA (Version 2/12), Health Insurance Laser Sheets – 500 Sheets

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