Office Products > Forms, Recordkeeping & Money Handling > Human Resources Forms > Insurance Claim Forms
New CMS 1500 Claim Forms - HCFA (Version 02/12) (2500 Sheets)
Product ID: B00IU19OC6
Condition: New
Selected Option: 2500
$ 426
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Delivery: 10-20 working days
Ships from USA warehouse.
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Product Description
New CMS 1500 Claim Forms - HCFA (Version 02/12) (2500 Sheets)
- 1-Part Laser Form CMS-1500 printed in red ink
- New Version 02/12 (APPROVED OMB-0938-1197)
- Medicare will begin accepting this Version 02/12 on 1/06/14. Starting 04/04/14 Medicare will accept this Version 02/12 only.
- Size: 8-1/2" X 11"; Weight: 24# Paper
- For Laser and Inkjet Printers
The Centers for Medicare and Medicaid Services (CMS) healthcare forms are required for all federal insurance claims and many private healthcare organizations. These preprinted and cut size forms speed up claims processing. New Version 02/12: Medicare will begin accepting this Version 02/12 on 1/06/14. Starting 04/04/14 Medicare will accept this Version 02/12 only.
Technical Specifications
Country
USA
Brand
Compuchecks
Manufacturer
Compuchecks
PartNumber
FBA_6505
Model
07106
Height
11
Length
8
Width
12
Size
2500








