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CMS 1500 Claim Forms “NEW” HCFA (Version 02/12) – Health Insurance, Laser Cut…

Features and Specifications:

Manufacturer: Prime Business Checks
Product Dimensions: 10.9×8.5×1.1 inches
Shipping Weight: 2.7 pounds
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.
Required for healthcare providers to bill a patient’s insurance company for reimbursement of medical claims. – 250 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.
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