Shop cms 1500 health insurance claim form 02 12 version 2 part

Includes QR code identifier at the top of the form that supports and aligns with Industry scanning systems

Printed with OCR "dropout" red ink on 20lb. paper (per government regulations)

Includes new QR code identifier at the top of the form that supports and aligns with Industry scanning systems

Includes QR code identifier at the top of the form that supports and aligns with Industry scanning systems

Printed with OCR "dropout" red ink on 20lb. paper (per government regulations)

Includes new QR code identifier at the top of the form that supports and aligns with Industry scanning systems

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 healthcare claims: Professional (837), 005010X222 Technical Report Type 3 (5010) and 005010X222A1 Technical Report Type 3 (5010A1)

The most significant change was the addition of 8 diagnosis codes in field 21

Designed for filing Medicare part B claims as well as claims to commercial insurance companies

Includes the newest NUCC revisions

Printed in red, scannable, OCR ink

Includes QR code identifier at the top of the form that supports and aligns with Industry scanning systems

Printed with OCR "dropout" red ink on 20lb. paper (per government regulations)

Includes new QR code identifier at the top of the form that supports and aligns with Industry scanning systems

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), 005010X222 Technical Report Type 3 (5010) and 005010X222A1 Technical Report Type 3 (5010A1)

The most significant change was the addition of 8 diagnosis codes in field 21

8 1/2" x 11"

20 lb.

White

Printed with OCR "dropout" red ink on 20# paper, as per government regulations

1,000 per case

Form is "8.5x11"

8 1/2" x 11"

20 lb.

White

Comprehensive form gathers complete insurance information, making it easier for you to process claims

Friendly "happy teeth" design welcomes patients

Printed in 2-color on two sides on 24-lb. white bond paper

Comprehensive form gathers complete insurance information, making it easier for you to process claims

Silhouetted toothbrush design welcomes patients

Printed in 1-color on two sides on 24-lb. white bond paper

Patient Signs Several Stickers At First Visit To Your Office

Affix A Sticker to Your Completed Insurance Claim Form & Keep The Rest for Future Use

Size: 3.875 x 1.4375 inch

Self seal CMS-1500 right window envelope

HIPAA security tent, 24 lb. bond paper

Accommodates 12 folded CMS-1500 claim forms

Window envelopes for medicare form HCFA-1508 and other standard healthcare insurance forms

These durable claim form envelopes are made of 28 lbs. white wove stock

Dimensions: 9"L x 12.5"H

Satisfy record keeping requirements with these health insurance claim forms

Number of parts: 1

Contains 500 forms per package

CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medicaid or private insurance benefits

Top sensor bar for microfiche duplication, as required in some states

OCR red ink for scanning

Designed for hospitals to file a medical claim with the patient's insurance carrier

One-part health insurance forms

Contains 2500 forms per carton

This CMS-1500 jumbo health care billing envelope helps reduce processing delays

500 envelopes per box

Form size: 9" x 12.5"

CDT PLUS! 2023 represents the ultimate coding reference for your dental practice. It includes everything you need to process dental insurance claims. CDT 2023 codes are mandatory for reporting dental procedures and services provided from January 1, 2
023 - December 31, 2023. Dental professionals must use HIPAA mandated CDT codes to report procedures and services on dental claims. There are significant changes in the CDT coding system for 2023; including new codes, revised codes and deleted codes.

CDT PLUS! 2023 includes: All official CDT 2023 codes and descriptions along with coding notes and coverage information. Comprehensive introduction to CDT coding including extensive gl ...