Pulmonomics
 

CMS 1500 Claim Forms ''ICD-10'' HCFA (Version 02/12) - Health Insurance, Laser Cut Sheet - 5,000 Sheets


CMS 1500 Claim Forms ''ICD-10'' HCFA (Version 02/12) - Health Insurance, Laser Cut Sheet - 5,000 Sheets by Formsandchecks at Pulmonomics. MPN: 6506. Hurry! Limited time offer. Offer valid only while supplies last. The most significant change was the addition of 8 diagnosis codes in field 21. Includes new QR code identifier at the top of the form that supports


CMS 1500 Claim Forms ''ICD-10'' HCFA (Version 02/12) - Health Insurance, Laser Cut Sheet - 5,000 Sheets by Formsandchecks
Brand: Formsandchecks
4.9 out of 5 stars with 91 reviews
Condition: New
Availability: In Stock
$109.99


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Product Description & Reviews

The most significant change was the addition of 8 diagnosis codes in field 21. Includes new QR code identifier at the top of the form that supports and aligns with Industry scanning systems. Printed with OCR "dropout" red ink on 20lb. paper (per government regulations)..

Features & Highlights

  • Version 02/12,
  • Accommodates reporting of the National Provider Identifier (NPI) number and the new ICD-10
  • 5000 Single Sheets for laser / Inkjet Printers
  • Jam-free performance Paper are printed in OCR-scannable red ink. Approved OMB 0938-1197
  • All forms are government approved CMS-1500 to serve federal programs and private insurers as a universal claim form.

Additional Information

Manufacturer:Formsandchecks
Brand:Formsandchecks
Part Number:6506
Publisher:Formsandchecks
Studio:Formsandchecks
MPN:6506
Package Size:132 x 96 x 96 inches

 


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