Why Choose CMS 1500 Claim Forms “NEW” HCFA (Version 02/12) – Health Insurance, Laser Cut Sheet – 100 Sheets

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CMS 1500 Claim Forms “NEW” HCFA (Version 02/12) – Health Insurance, Laser Cut Sheet – 100 Sheets

Features and Specifications:

  • Manufacturer: Prime Business Checks
  • Product Dimensions: 11×8.5×0.3 inches
  • Shipping Weight: 0.7 pounds
  • For Laser and Inkjet Printers
  • APPROVED OMB-0938-1197 (Version 02/12)
  • 100 Sheets
  • Size: 8-1/2″ X 11″; Weight: 24# Paper
  • 1-Part Laser Form CMS-1500 printed in red ink
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Why Choose CMS 1500 Claim Forms “NEW” HCFA (Version 02/12) – Health Insurance, Laser Cut Sheet – 100 Sheets

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VersaCheck Security Business Check Refills: Form #1000 Business Voucher – Blue – Premium – 250 Sheets

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  • Manufacturer: Global BIZZ Force Inc. (2015-04-30)
  • Product Dimensions: 11.4×8.9×1.8 inches
  • Shipping Weight: 3.7 pounds
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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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PDC Healthcare AN-11D20 Anesthesia Tape with Date, Time and Initial, Removable, Lidocaine 2%, 20 mg/mL, 1″ Core, 1/2″ x 500″, Imprints Gray 333 (Pack of 1)

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Check Out This EGP CMS-1500 Laser Printer Medical Claims Form (100 Sheets)

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EGP CMS-1500 Laser Printer Medical Claims Form (100 Sheets)

Features and Specifications:

  • Manufacturer: EGP
  • Product Dimensions: 11.2×8.4×0.4 inches
  • Shipping Weight: 1.4 pounds
  • Strict compliance with NUCC and CMS regulations
  • Most recent update (02/12)
  • See below for complete product details
  • Size: 8 1/2 x 11 – 100 sheets per pack
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    Rediform Driver’s Daily Log Book, Carbon, 2 Part, 5.5 x 7.875 Inches, 31 Forms (6K681)

    Features and Specifications:

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    • Product Dimensions: 8.5×5.5×0.3 inches
    • Shipping Weight: 0.4 pounds
    • 1 per page Flexible cover and carbonless, numbered receipts50 duplicate forms Part 1: white; part 2: yellow Detached size 4-1/4″ x 6-3/8″
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