Pulmonomics

CMS 1500 Claim Forms''NEW'' HCFA (Version 02/12) - Health Insurance, Laser Cut Sheet - 500 Sheets


CMS 1500 Claim Forms''NEW'' HCFA (Version 02/12) - Health Insurance, Laser Cut Sheet - 500 Sheets by Prime Business Checks at Pulmonomics. MPN: 3973412. Hurry! Limited time offer. Offer valid only while supplies last. CMS 1500 Claim Forms ''NEW'' HCFA (Version 02/12) - Health Insurance, Laser Cut Sheet: Satisfy the NEW medical billing requirements with compliant


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CMS 1500 Claim Forms''NEW'' HCFA (Version 02/12) - Health Insurance, Laser Cut Sheet - 500 Sheets by Prime Business Checks (Image #1)
CMS 1500 Claim Forms''NEW'' HCFA (Version 02/12) - Health Insurance, Laser Cut Sheet - 500 Sheets by Prime Business Checks (Image #2)
Brand: Prime Business Checks
4.5 out of 5 stars with 29 reviews
Condition: New
Availability: In Stock
$24.99


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Product Description & Reviews

CMS 1500 Claim Forms "NEW" HCFA (Version 02/12) - Health Insurance, Laser Cut Sheet: Satisfy the NEW medical billing requirements with compliant CMS-1500 forms. * 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). * 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. * 500 Sheets

Features & Highlights

  • Required for healthcare providers to bill a patient's insurance company for reimbursement of medical claims. - 500 Sheets - Made in USA
  • CMS-1500 (version 02/12) replaces form (version 08/05) - 1-Part Laser Form CMS-1500 Printed in Red 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.
  • 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"
  • Forms must adhere to strict printing standards that govern the layout, paper and ink. - 20-lb paper with OCR "dropout" red ink for greater scanning accuracy.

Additional Information

Brand:
Prime Business Checks
Manufacturer:
Prime Business Checks
Category:
Recordkeeping & Labels
Model:
3973412
MPN:
3973412
UPC:
635341343686
EAN:
0710473507035
Part Number:
3973412
Size:
500 Sheets
Publisher:
Prime Business Checks
Binding:
Office Product
Item Weight:
5 pounds
Item Size:
11 x 2.5 x 8.5 inches
Package Weight:
5.75 pounds
Package Size:
8.27 x 2.05 x 11.02 inches

 


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