CMS Health Insurance Forms (CMS-1500), 1-Part w/ NPI

Price: $64.992,500/Pack

Price:	$64.992,500/Pack

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Item: 668812
Model: CMS1

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The CMS-1500 Claim form contains a number of improvements and enhancements. The claim form will be able to accommodate the reporting of the National Provider Identifier (NPI) Number. The NPI will be a single provider identifier replacing the different provider identifiers healthcare systems currently use for each health plan with which you do business. The NPI Identifier, which implements a requirement of the Health Insurance Portability and Accountability Act of 1996 (HPIAA), must be used by all HIPAAcovered entities, which are health plans, healthcare clearinghouses, and healthcare providers.

Per Federal regulations, all Health Care Providers must use the CMS forms
File a hard copy of each claim with patient records in case you need to resubmit a claim
One part, white
Compatible with continuous form Dot-Matrix printers

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Price:	$75.99100/Box

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CMS Health Insurance Forms (CMS-1500), 1-Part w/ NPI

9" X 12-1/2" Envelopes, 1500LR

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