ComplyRight CMS-1500 Health Insurance Claim Form, 250/Box (CMS12LC250)
Product Description
ComplyRight CMS-1500 Health Insurance Claim Form, 250/Box (CMS12LC250)
- Sold as 250/Pack
- 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)
- Includes new QR code identifier at the top of the form that supports and aligns with Industry scanning systems
- The most significant change was the addition of 8 diagnosis codes in field 21
Technical Specifications
You might also like
Spring Door Mats for Outside Entry Danger Hydrochloric Acid Doormat Gifts for Home Decor Large Outdoor Rug(50X80CM)
Spring Door Mats for Outside Entry Danger Hydrochloric Acid Doormat Gifts for Home Decor Large Outdoor Rug(40X60CM)
Sprayers Plus 801 Acid Trigger Sprayer, Heavy Duty Chemical Resistant Bottle for Muriatic Acid, Rust Removal & Aluminum Brightening, Professional Acid Sprayer 316 Stainless Steel Spring,1.44Litres
Away Medium Checked Luggage, 26-inch Lightweight Hardside Spinner Suitcase
ALDON Innovating Science Hydrochloric Acid Concentrated EZ-PREP, pH Control
Duda Energy Industrial Grade Hydrochloric Acid 32% Pure 32 Fl Oz 950ml
Stellar Chemical Corp Hydrochloric Acid 37% Solution, ACS Reagent Grade-1 Quart
ALDON Innovating Science 0.1M Hydrochloric Acid, 1L Excellent for Chemistry or Refinement Experiments - The Curated Chemical Collection