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SecurityDocs 500 CMS-1500 Health Insurance Claim Forms, Laser/Inkjet Compatible (HCFA Form 1500 Version 02-12) 8.5×11…

Make sure this fitsby entering your model number.
Easily get reimbursed by insurance companies with the current 02/2012 version CMS-1500 Forms (HCFA-1500 New Version 02/12 NUCC, Approved OMB-0938-1197 Form 1500 02-12)
All printed fields will align with the correct boxes when using your templates or billing software

$21.95

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SecurityDocs CMS-1500 Health Insurance Claim Forms – Laser/Ink-Jet Compatible – 500 Sheets – 8.5×11 (NUCC, OMB APPROVED HCFA-1500 ‘NEW’ Version 02/12) Forms Will line up with Billing Software, OMB-0938-1197 FORM 1500 (02-12).

Process claims easily with these SecurityDocs CMS-1500 Health Insurance Claim Forms.

Keep your human resource or billing department stocked with these health insurance claim forms.

The preprinted fields provide spaces for names, addresses, service codes and other essential information, and the red OCR ink is ideal for scanning tasks.

These SecurityDocs CMS-1500 forms are compatible with laser printers, so your staff can populate and print claims with crisp, clear results.

Approved by the National Uniform Claim Committee (NUCC); HIPAA compliant.

This form was revised to align the paper form with some of the changes in the electronic health care claims: Professional (837), 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 20 pounds. paper (per government regulations).

Size: 8-1/2×11.

The Centers for Medicare and Medicaid Services (CMS) healthcare forms are required for all federal insurance claims and many private healthcare organizations.

New Version 02/12: Medicare begin accepting this Version 02/12 on 01/06/14.
Starting 04/04/14 Medicare will accept this Version 02/12 only.

Make sure this fitsby entering your model number.
Easily get reimbursed by insurance companies with the current 02/2012 version CMS-1500 Forms (HCFA-1500 New Version 02/12 NUCC, Approved OMB-0938-1197 Form 1500 02-12)
All printed fields will align with the correct boxes when using your templates or billing software
Thick 20 LB paper (per government regulations) that are compatible with Laser and Ink Jet printers
100% compliant with HIPAA with all correct content, Red ink, and 1 Part printing style, Manufactured & Printed in the USA
CMS-1500 forms are required for health care providers to receive reimbursements for clients, Medicare begin accepting the NEW 02/2012 version in January of 2014 and now only Accepts this version

Specification: SecurityDocs 500 CMS-1500 Health Insurance Claim Forms, Laser/Inkjet Compatible (HCFA Form 1500 Version 02-12) 8.5×11…

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SecurityDocs 500 CMS-1500 Health Insurance Claim Forms, Laser/Inkjet Compatible (HCFA Form 1500 Version 02-12) 8.5×11…
SecurityDocs 500 CMS-1500 Health Insurance Claim Forms, Laser/Inkjet Compatible (HCFA Form 1500 Version 02-12) 8.5×11…

$21.95

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