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HCFA CMS-1500 Laser Health Insurance Forms  (4 Products)
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Use health insurance forms that are National Uniform Claim Committee and HIPPA compliant to receive reimbursement for services. Business forms are vital to keeping track of every service. Stock up on health insurance health claim forms to log all the required information about patients and the procedures they receive. Read More
New Lower Prices
ComplyRight CMS-1500 Health Insurance Claim Form (02/12), 1000/Carton (CMS12LC1)

ComplyRight CMS-1500 Health Insurance Claim Form (02/12), 1000/Carton (CMS12LC1)

Approved by the National Uniform Claim Committee (NUCC); HIPAA compliant
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
$36.99 Carton
This item ships FREE *
Item # 901-CMS12LC1
Model # CMS12LC1
Guaranteed 1-2 Day Delivery
ComplyRight™ CMS-1500 Health Insurance Claim Form (02/12); Laser-Cut Sheet, 250/Box

ComplyRight™ CMS-1500 Health Insurance Claim Form (02/12); Laser-Cut Sheet, 250/Box

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
$22.59 Box
Item # 901-CMS12LC250
Model # null
Guaranteed 1-2 Day Delivery
Item # 901-125542
Model # CMS121
ComplyRight™ CMS-1500 Health Insurance Claim Form (02/12); Laser-Cut Sheet, 500/Box
$67.99 Pack
This item ships FREE *
Item # 901-CMS12LC500
Model # CMS12LC500
SS,1421
Want to know more about HCFA CMS-1500 Laser Health Insurance Forms

Health insurance forms meet all federal regulations for reimbursements

Healthcare providers must use medical insurance forms that comply with all established rules and regulations to get reimbursed by Medicare or Medicaid for services rendered to patients. The HCFA CMS-1500 laser health insurance claim form is a laser-cut sheet printed in red ink that is National Uniform Claim Committee (NUCC) and HIPAA compliant. These one-page forms were recently updated to align the paper form with the changes in the electronic filing.

Business forms are essential to keep an office running smoothly

Record all procedures a patient receives in-office accurately and follow government regulations to keep a business organized. Record keeping is an essential part of running any kind of healthcare office and using business forms helps to stay on top of all the paperwork generated daily. There are many types of forms an office needs to maintain billing, training, and scheduling their patients including:

  • Payroll change notice
  • Employee training programs
  • Health insurance forms
  • HR & medical forms
  • Notice of privacy practice
  • OSHA record keeping assistant
  • OSHA form 301
  • CMS 1500 9” x 12.5” jumbo right window envelope

Maintaining the right forms means compliance, efficiency, accuracy, and payment in any medical office.

Stock up on health insurance claim forms to run a healthcare office

With all the options Quill offers to healthcare providers, it’s easy to stock up on the health insurance claim forms to receive reimbursement from Medicare and Medicaid. Choose from ComplyRight® HCFA CMS-1500 laser forms that come in boxes of 250, 1,000 or 2,500 pieces per box, and envelopes especially designed to mail the sheets. The recent updates to this 8.5 x 11” form include additional diagnosis codes. Additionally, new industry scanning systems require a different alignment. A  new QR code identifier has been added to the form. The worksheet uses OCR red ink and 20 lbs. paper per federal regulations.

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