NEW CMS-1500 INSURANCE CLAIM FORMS, HCFA (Version 02/12) - 2 CASES (5000 SHEETS/FORMS) by Linco at Atlas Success. MPN: HCFACS5000. Hurry! Limited time offer. Offer valid only while supplies last. NEW CMS-1500 INSURANCE CLAIM FORMS, HCFA (Version 02/12) - 2 CASES (5000 SHEETS/FORMS)1-Part Laser Form CMS-1500 printed in red ink - Quantity: 5000 Forms. New Version 02/12 (APPROVED OMB-0938-1197). Medicare Accepts Only This Version 02/12 Beginning 04/04/14.. Size: 8-1/2'' x 11''; Weight: 24lb Paper. Designed For Laser & Inkjet Printers.
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Satisfy recordkeeping requirements with cms-1500 Health insurance claim forms. Per Federal regulations, all healthcare providers must use the cms-1500 form for specific types of billing. The cms-1500 accommodates reporting of the National provider id...
Each patient prints his/her name, appt time/arrival time, appointment with and if they're a new patient or if there are any changes in the phone, address or insurance since the last visit. Once the label has been removed, the information is protected...
UB-04 Hospital Claim Form Laser-Cut Sheet (2,500/case) Printed in OCR red ''dropout'' ink 20# Environmental Paper Alliance (EPA) Recycled Paper (White) 2,500/case
1 Part NEW CMS 1500 Forms (02/12) for Pinfeed Printers. White Pinfeed OCR scanable paper. Black and red ink. 100% compatible with UCCI requirements. This is the NEW CMS 1500 form mandated by the U.S. Centers for Medicare and Medicaid Services (CMS)1 ...