CMS 1500 Laser Health Insurance Forms (02/12 Version); 250/Box

See pricing info, deals and product reviews for CMS 1500 Laser Health Insurance Forms (02/12 Version); 250/Box at Quill.com. Order online today and get fast, free shipping for your business.
Item # 901-CMS12LC250
  Model # CMS12LC250
100% of respondents would recommend this
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CMS 1500 Laser Health Insurance Forms (02/12 Version); 250/Box
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$13.99 Box
$11.89 /Box
 
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  • Form Type: Billing
  • Format: Health Insurance Claim Form
  • Sheet Size: 8-1/2" x 11"
Description
  • 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
  • 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 20lb. paper (per government regulations)
  • Form not available personalized
  • Certified Chain of Custody; promotes sustainable forest management
  • Size: 8-1/2x11"
  • 250 per box
  • To view the 02/2012 proposed changes for this product Click Here
Specifications
Product Information Form Type : Billing Format : Health Insurance Claim Form
Sheet Size : 8-1/2" x 11" Lines : No Lines
Form Size : 8-1/2" x 11" Media Quantity : 250
Binding Type : Loose Paper Color : White
Number of Parts : 1 Carbonless : No
# Up Per Sheet/Page : 1 NCR Paper : No
Numbered : No Holes Punched : None
Personalization : No Security Features : No
Environmental Information Certifications & Standards : SFI Sustainable Forestry Iniative Post-Consumer Waste% : 0
Miscellaneous Country of Origin : USA Brand : N/A
Weight Weight : 1.00 lbs. per Box

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CMS 1500 Laser Health Insurance Forms (02/12 Version); 250/Box

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Reviews

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CMS 1500 Laser Health Insurance Forms (02/12 Version); 250/Box
 
4.7

(based on 11 reviews)

Ratings Distribution

  • 5 Stars

     

    (8)

  • 4 Stars

     

    (3)

  • 3 Stars

     

    (0)

  • 2 Stars

     

    (0)

  • 1 Stars

     

    (0)

100%

of respondents would recommend this to a friend.

Reviewed by 11 customers

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Displaying reviews 1-10

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5.0

bill it

By boop

from Melbourne, FL

Verified Buyer

Comments about CMS 1500 Laser Health Insurance Forms (02/12 Version); 250/Box:

Great as always

 
4.0

HCFA

By cpc

from atown

Verified Buyer

Comments about CMS 1500 Laser Health Insurance Forms (02/12 Version); 250/Box:

Came earlier than promised.

 
5.0

cms 1500

By ruth

from los angeles, ca

Verified Buyer

Pros

    Cons

      Best Uses

        Comments about CMS 1500 Laser Health Insurance Forms (02/12 Version); 250/Box:

        don't have any issues on the printer with this form. i would recommend these forms if you are doing medical billing for professional services. great product

        • Are you connected to this product in any way?:
        • I received a free sample.
         
        5.0

        Laser cut insurance forms

        By Ann at RENEW

        from Decatur, IL

        Verified Buyer

        Comments about CMS 1500 Laser Health Insurance Forms (02/12 Version); 250/Box:

        I am certainly glad I could pick up the phone and order these forms. My office staff said they were running low and I simply called staples and ordered some paper that was on sale by the way and these forms.

        This saved me a trip across town and I did NOT have to lift and load and unload all the heavy boxes of paper. We use a lot of paper in our "paperless" medical office.

        Thanks Staples for the fast service and the convenience of being able to call and order what I need WHEN I need it.

        Sincerely
        Ann Rohde
        Office manager
        Renew Total Body Wellness
        Decatur, Illinois

         
        5.0

        Insurance claim forms

        By Don

        from Lititz

        Verified Buyer

        Comments about CMS 1500 Laser Health Insurance Forms (02/12 Version); 250/Box:

        easy to order, good price, fast delivery

        (0 of 1 customers found this review helpful)

         
        5.0

        insurance forms

        By accessible

        from Baltimore County, Maryland

        Verified Buyer

        Comments about CMS 1500 Laser Health Insurance Forms (02/12 Version); 250/Box:

        I had such a hard time ordering the new 02/12 version of the Health Insurance forms for my business. The other online stores require that you purchase 1,000 or more forms! Quill allowed me to buy exactly what I needed and were delivered the very next day.

         
        5.0

        Great company

        By docduff

        from Pocomoke City, Maryland

        Verified Buyer

        Comments about CMS 1500 Laser Health Insurance Forms (02/12 Version); 250/Box:

        Thanks for the quick delivery and good service!

         
        5.0

        Came early, which was very helpful!

        By Andieathebeach

        from Oregon Coast

        Verified Buyer

        Comments about CMS 1500 Laser Health Insurance Forms (02/12 Version); 250/Box:

        I don't accept much insurance, so when the auto insurance company said they can't accept electronic submissions, I needed new forms fast. They came in just a few days, not the two weeks I was quoted. No complaints.

         
        4.0

        Serves its purpose!

        By Eileen

        from Weeki Wachee

        Verified Buyer

        Comments about CMS 1500 Laser Health Insurance Forms (02/12 Version); 250/Box:

        I have no further comments at this time.

        (2 of 2 customers found this review helpful)

         
        4.0

        Do We Have A Choice?

        By slsmft

        from San Francisco

        Verified Buyer

        Comments about CMS 1500 Laser Health Insurance Forms (02/12 Version); 250/Box:

        Private Providers are obliged to use this form effective 4/1/14 so there is no tremendous "yahoooo" in the works by any buyer, I suspect. I, for one, still had over 100 sheets of the prior version I am now going to recycle. It is a very similar product that allegedly accommodates better to the DSM5; I am awaiting payment on my first invoice with this version... The only big difference for me involved box 30 that was previously used to state the Amount Owed by payor, and is now designated at "Reserved for NUCC use"
        I still put the amount owed to me in that space and will modify as oriented by my payor.

        Displaying reviews 1-10

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