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CMS Health Insurance Forms for Continuous Form Dot-Matrix Printers

The new CMS-1500 Claim form contains a number of improvements and enhancements. The new 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), mustbe 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
  • Available in one or two-part
  • Compatible with continuous form Dot-Matrix printers
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CMS Health Insurance Forms (CMS-1500), 1-Part w/ NPI
Item 668812
Model CMS1
CMS Health Insurance Forms (CMS-1500), 1-Part w/ NPI
  • 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
Expected Delivery3 - 5 Business Days
Price:
$64.99
2,500/Pack
Qty. Add to Favorites
CMS Health Insurance Forms (CMS-1500), 2-Part w/ NPI, White/Yellow
Item 668816
Model CMS2
CMS Health Insurance Forms (CMS-1500), 2-Part w/ NPI, White/Yellow
  • 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
Expected Delivery3 - 5 Business Days
Price:
$64.99
1,000/Pack
Qty. Add to Favorites
CMS Health Insurance Forms (CMS-1500), 2-Part w/ NPI, White/White
Item 668827
Model CMSW2
CMS Health Insurance Forms (CMS-1500), 2-Part w/ NPI, White/White
  • 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/white
Expected Delivery3 - 5 Business Days
Price:
$64.99
1,000/Pack
Qty. Add to Favorites
Images Off sort by Name sort by Delivery sort by Price   Add to Cart
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