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The CMS-1500 Claim form contains a number of improvements and enhancements. The 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 HIPAA covered 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
Compatible with laser printers

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

Price:	$22.99100/Box

Expected Delivery 7-14 Business Days
Item qualifies for free delivery to a store near you. (Learn more)
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Item: 399692
Model: 1500LR

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Parts	FALSE
Quantity	2,500/Box
Model #	CMSLC