ComplyRight™ CMS-1500 Health Insurance Claim Form (02/12); Laser-Cut Sheet, 500/Box
$67.99
Per pack
ComplyRight™ CMS-1500 Health Insurance Claim Form (02/12); Laser-Cut Sheet, 500/Box
Item #:
901-CMS12LC500
Model #:
CMS12LC500
Brand:
TFP
Frequently bought together
+
Price drop
+
$5.49
1-7 box
Save 9%
$4.99
8+ box
$5.49
Total
$115.47
$67.99
Per pack
Free shipping
Description
TFP Cms-1500 health insurance claim form is laser cut and printed on white paper, sold as 500 per case.
TFP Cms-1500 Health insurance claim form is printed with OCR dropout red ink over #20 white paper. Form measures 8.5" x 11", sold as 500 per case.
- Letter, 8 1/2" x 11"
- Paper weight: 20 lb
- White
- CMS-1500 (Rev. 02/12) form
- 500 per pack
- Laser single format
- The new form will start to transition on January 6, 2014. From January 6 until March 31, providers can use either the current form or the revised form. On April 1, 2014 the current form is discontinued, and only the new version 02/12 will be accepted
- For use by all medical facilities/entities billing insurance companies, Medicaid and Medicare
- The newly revised forms are fully compliant and rejection proof, so healthcare providers get paid quicker
- Printed with OCR "dropout" red ink on 20# paper as per government specifications
- NPI Compliance Guaranteed
Specifications
Brand
TFP
Customizable
No
HR Form Pack Size
500
HR Form Type
Cms-1500
Number of Parts
2
Pack Qty
1
True Color
White
Width in Inches
8.5
Accessories
