New CMS 1500 Claim Forms - HCFA (Version 02/12) (100 Sheets)
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- All printed fields, boxes, and layout will perfectly align with the correct boxes for easy printing with billing software. No need to change settings when using these high-quality HCFA 1500 claim forms! Printed on red ink for greater scanning accuracy..
- COMPLIANT WITH ALL GOVERNMENT STANDARDS: Each UB04 Claim Form has accurate content and adheres to strict government standards developed by HIPAA in conjunction with CMS Centers for Medicare and Medicaid Services, NUBC, NUCC, Health and Human Services Agency, and American Hospital Association..
- SIMPLY YOUR COMPENSATION PROCESS with our 2012 approved CMS-1500 Health Insurance Claim Forms. 500 sheets, proudly made in the USA. Widely accepted by hospitals, nursing facilities, and other in-patient providers since 2014..
- LATEST APPROVED VERSION FORMS: CMS/HCFA 1500 claim forms (02/2012 version) are the currently approved forms that replaced (version 08/05) CMS-1500 Forms.
- required for health care providers to bill a patient's insurance company for reimbursement of medical claims..
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Check StockCMS 1500 Claim Forms\New\ HCFA (Version 02/12) - Health Insurance, Laser Cut Sheet - 500 Sheets
- Required for healthcare providers to bill a patient's insurance company for reimbursement of medical claims. - 500 Sheets - Made in USA.
- CMS-1500 (version 02/12) replaces form (version 08/05) - 1-Part Laser Form CMS-1500 Printed in Red Ink.
- Each form must have accurate content and conform to the Health Insurance Portability and Accountability Act (HIPAA). - Developed in conjunction with all the governing agencies, including the National Uniform Claim Committee (NUCC), the National Uniform Billing Committee (NUBC), the CMS Centers for Medicare and Medicaid Services, the Health and Human Services Agency, and the American Hospital Association..
- 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".
- 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..
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