ComplyRight CMS-1500 Health Insurance Claim Form (02/12), Laser-Cut Sheet, 8 1/2in x 11in, White, Case of 2, 500 MPN:CMS12LC

Brand: Trujillo & Sons
Part #: CMS12LC
UPC: 015171907911
SKU
312-486164
Currently Unavailable

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ComplyRight CMS-1500 Health Insurance Claim Form (02/12), Laser-Cut Sheet, 8 1/2in x 11in, White, Case of 2, 500 MPN:CMS12LC
Satisfy medical billing requirements with compliant CMS-1500 forms. Its always best to have forms on hand to prevent delays. Stock up on CMS-1500 health insurance claim forms today. Required for healthcare providers to bill a patients insurance company for reimbursement of medical claims. CMS-1500 (version 02/12) replaces form (version 08/05). Providers should check with their payer and/or clearinghouses to determine which version they will accept. 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. Corresponding envelopes sold separately. This CMS-1500 claim form pack of 2500 will ensure you have plenty of forms on hand. CMS-1500 claim forms in white (pack of 2500) offer a professional look. Each CMS-1500 claim form laser-cut sheet provides convenience. SFI Certified - Certified to meet SFI standards.

Features

  • Acid Free: Yes
  • Binding Type: Perfect
  • Brand Name: ComplyRight
  • Carbonless: No
  • Color (Ink): Red
  • Double Sided: No
  • Eco Label Standard: SFI Certified Fiber Sourcing
  • Manufacturer: TRUJILLO & SONS INC.
  • Number of Holes Punched: False
  • Number of Parts: True
  • Product Line: CMS-1500 Health Insurance Claim Forms
  • Quantity: 2500
  • Sheet Size: Letter (8-1/2" x 11")
  • Total Quantity: 2500 Medical Claim Forms

Additional Information

  • Country of Origin: US
  • UNSPSC Code: 14111806
  • UNSPSC Commodity: Business forms or questionnaires
  • Green: No
  • Recycled Content: FALSE
  • Hazardous: No
  • Prop 65: No
  • MSDS URL: nan
  • Package Length: 12.00
  • Package Width: 9.20
  • Package Height: 10.50
  • Package Weight: 27.00
Product info last updated on January 7, 2025 8:32am UTC
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In stock