CMS 1500 Claim Forms"New" HCFA (Version 02/12) - Health Insurance, Laser Cut Sheet - 500 Sheets

Features

  1. Required for healthcare providers to bill a patient's insurance company for reimbursement of medical claims. - 500 Sheets - Made in USA
  2. CMS-1500 (version 02/12) replaces form (version 08/05) - 1-Part Laser Form CMS-1500 Printed in Red Ink
  3. New Version 02/12 (APPROVED OMB-0938-1197) - Size 8-1/2" x 11" for Laser and Inkjet Printers - Starting 04/04/14 Medicare will accept this Version 02/12 "ONLY"
  4. Forms must adhere to strict printing standards that govern the layout, paper and ink. - 20-lb paper with OCR "dropout" red ink for greater scanning accuracy.

Images

  1. CMS 1500 Claim Forms"New" HCFA (Version 02/12) - Health Insurance, Laser Cut Sheet - 500 Sheets Photo #1
  2. CMS 1500 Claim Forms"New" HCFA (Version 02/12) - Health Insurance, Laser Cut Sheet - 500 Sheets Photo #2

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