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ComplyRight™ CMS-1500 Health Insurance Claim Form (02/12), 3-Part Continuous, White/Canary/Pink, Pack of 1,000

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Item #: 901-1949160
  Model #: CMS1239
Brand: ComplyRight
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ComplyRight™ CMS-1500 Health Insurance Claim Form (02/12), 3-Part Continuous, White/Canary/Pink, Pack of 1,000
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Description
Satisfy medical billing requirements with fully compliant CMS-1500 Health Insurance Claim Forms ComplyRight CMS-1500 Healthcare Billing Form; (02/12); 3-Part Continuous; White/Canary/Pink, adheres to strict printing standards that govern the layout, paper and ink. Our CMS-1500 forms have accurate content and conform to the Health Insurance Portability and Accountability Act (HIPAA). We developed our forms 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.
  • Corresponding envelopes sold separately
  • Accommodates reporting of the National Provider Identifier, which must be used by all HIPAA-covered entities
  • 20-lb paper with OCR "dropout" red ink for greater scanning accuracy
  • SFI Certified — Certified to meet SFI standards
  • Pack of 1000
Specifications
Number of Parts : 1 HR Form Pack Size : 1000 HR Form Type : Employment Applications Pack Qty : 1
True Color : White Brand : ComplyRight
Weight : 1.76 lbs. per Each
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