CMS Health Insurance Forms (CMS-1500), 2-Part w/ NPI, White/Yellow

Item: 668816 Model: CMS2

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
Two-part, white/yellow

See more details

FREE SHIPPING
In Stock Online
Expected Delivery:7 - 14 Business Days
FREE Shipping to store ( Learn More )
Online Only

Delivery policy content URLSaveSee more detailsAdditional OffersFree Item IncludedInstant SavingsRebateURLFREE SHIPPINGClick here for Printable CouponvalueQty.Choose your ItemstrueCLEARANCE ITEM: Eco FeeView largerNextAdd to CartreviewsPreviousIn Stock OnlinePrice after rebateFREE Shipping to storeEnvironmental fee notice:DetailsstarsAvailable In Store OnlySee Price in-CartOrders containing this item are not eligible for Gift cards or certain other methods of payment."My Software Downloads"NowCollapseGet StartedPrint this pageLearn MoreItem/sbdpas/img/ico/Select another component belowItem qualifies entire order for free deliveryselectedPrice after savingsInk and tonerComing SoonBeforeWasView Full DetailsExpected Delivery:Online OnlySee Details/sbd/content/help/using/delivery_policy_popup.htmlSoftware Download/sbd/content/help/environmental_fee_popup.htmlFinal PriceAdd to FavoritesNote: Shortly after purchase you will be able to access your Software Downloads in the section of your staples.com® account. It's easy and secure!/sbd/cre/marketing/technology-research-centers/software/software-downloads.html#z_faqInstant CouponPrice beforePriceModelItem can be shipped only to a retail store location. RebateBuy More Save MoreprintView videoCheck in Store AvailabilityAs low asRegFREEProvincial recycling or deposit fees may be applicable upon checkout.PromotionsAvailable In-Store OnlyCurrently Out of Stock.Total SavingsBefore continuing, please select an item Per Federal regulations, all Health Care Providers must use the CMS formsFile a hard copy of each claim with patient records in case you need to resubmit a claimAvailable in one or two-partSelect an ItemPer Federal regulations, all Health Care Providers must use the CMS formsFile a hard copy of each claim with patient records in case you need to resubmit a claimAvailable in one or two-partCMS Health Insurance Forms for Continuous Form Dot-Matrix Printershttp://s7d5.scene7.com/is/image/Staples/s0194309_sc7?$std$http://s7d5.scene7.com/is/image/Staples/s0194309_sc7?$thb$http://s7d5.scene7.com/is/image/Staples/s0194309/CMS-Health-Insurance-Forms-for-Continuous-Form-Dot-Matrix-Printers/product_SS998783CMS Health Insurance Forms for Continuous Form Dot-Matrix Printers5.02 Per Federal regulations, all Health Care Providers must use the CMS formsFile a hard copy of each claim with patient records in case you need to resubmit a claimOne part, white2,500/Pack1-Part w/NPIPer Federal regulations, all Health Care Providers must use the CMS formsFile a hard copy of each claim with patient records in case you need to resubmit a claimOne part, whiteCMS Health Insurance Forms (CMS-1500), 1-Part Pin-Feed w/ NPIhttp://s7d5.scene7.com/is/image/Staples/s0194309_sc7?$std$http://s7d5.scene7.com/is/image/Staples/s0194309_sc7?$thb$http://s7d5.scene7.com/is/image/Staples/s0194309/CMS-Health-Insurance-Forms-CMS-1500-1-Part-Pin-Feed-w-NPI/product_668812CMS Health Insurance Forms (CMS-1500), 1-Part Pin-Feed w/ NPI4.53 Per Federal regulations, all Health Care Providers must use the CMS formsFile a hard copy of each claim with patient records in case you need to resubmit a claimTwo-part, white/yellow1,000/Pack2-Part w/NPI, white/yellowPer Federal regulations, all Health Care Providers must use the CMS formsFile a hard copy of each claim with patient records in case you need to resubmit a claimTwo-part, white/yellowCMS Health Insurance Forms (CMS-1500), 2-Part w/ NPI, White/Yellowhttp://s7d5.scene7.com/is/image/Staples/s0194309_sc7?$std$http://s7d5.scene7.com/is/image/Staples/s0194309_sc7?$thb$http://s7d5.scene7.com/is/image/Staples/s0194309/CMS-Health-Insurance-Forms-CMS-1500-2-Part-w-NPI-White-Yellow/product_668816CMS Health Insurance Forms (CMS-1500), 2-Part w/ NPI, White/Yellow5.02 Per Federal regulations, all Health Care Providers must use the CMS formsFile a hard copy of each claim with patient records in case you need to resubmit a claimTwo-part, white/white1,000/Pack2-Part w/NPI, white/whitePer Federal regulations, all Health Care Providers must use the CMS formsFile a hard copy of each claim with patient records in case you need to resubmit a claimTwo-part, white/whiteCMS Health Insurance Forms (CMS-1500), 2-Part w/ NPI, White/Whitehttp://s7d5.scene7.com/is/image/Staples/s0194309_sc7?$std$http://s7d5.scene7.com/is/image/Staples/s0194309_sc7?$thb$http://s7d5.scene7.com/is/image/Staples/s0194309/CMS-Health-Insurance-Forms-CMS-1500-2-Part-w-NPI-White-White/product_668827CMS Health Insurance Forms (CMS-1500), 2-Part w/ NPI, White/White4.02

Customers who viewed this item also viewed

Product Details

Product Details

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
Two-part, white/yellow
Compatible with continuous form Dot-Matrix printers

Do you have questions about this product?(earn points for answers!)

get answers from real customers and in-house experts with AnswerBox.

3 Questions | 5 Answers

Displaying questions 1-3

Q:
Can this 2 part form be used with Inkjet Printers? How about with Laser printers?Or is this product ONLY compatible with dot-matrix printers?
Asked on 4/2/2012 by Anonymous
Know the answer? Answer this question
2 answers
- CUSTOMER CARE
  
  A:
  This form is only compatible with Dot Matrix Printers.
  Answered on 4/3/2012 by Linda from Staples
- A:
  As specified, the CMS Health Insurance Forms will only work with dot-matrix printers.
  Answered on 4/4/2012 by Community Answer from None
Q:
are these continuous feed forms?
Asked on 2/2/2011 by Anonymous
Know the answer? Answer this question
1 answer
- CUSTOMER CARE
  
  A:
  Yes, they are!
  Answered on 2/11/2011 by Rebecca P from Staples
Q:
Can you hand write on this form instead of using a printer?
Asked on 2/21/2010 by Anonymous
Know the answer? Answer this question
2 answers
- CUSTOMER CARE
  
  A:
  It is not recommended to hand write but you can if you apply enough pressure. Thanks
  Answered on 3/14/2010 by Customer Care from Staples
- A:
  Yes you can. Mu doctor does it all the time. Most insurance companies accept these and most even accept Laser Printer versions that you can print yourself. Check with the payors if they are okay with the laser printed claims. These claim forms are always acceptable. Just make sure your handwriting is CLEAR. When using Medicare, you can not use regular printed forms from your printer and you will have to use these forms.
  
  NOTE: When doing this forms by PAPER, do check with Medicare as they have certain rules that require you get an exemption from filing PAPER claims, usually less than 10 full time employees.
  Answered on 4/21/2010 by Ilie from Washington, DC