ComplyRight™ CMS-1500 Health Insurance Claim Form (02/12), Laser Cut, Pack of 2,500 (CMS12LC)
Supplies and Accessories
TFP Cms-1500 health insurance claim form is laser cut and printed on white paper, sold as 2500 per pack.
TFP Cms-1500 Health insurance claim form is printed with OCR dropout red ink over #20 white paper. Form measures 8.5" x 11", sold as 2500 per pack.
Letter, 8 1/2" x 11"
Paper weight: 20 lb
CMS-1500 (Rev. 02/12) form
2,500 per box
Laser single format
The new form will start to transition on January 6, 2014. From January 6 until March 31, providers can use either the current form or the revised form. On April 1, 2014 the current form is discontinued, and only the new version 02/12 will be accepted
For use by all medical facilities/entities billing insurance companies, Medicaid and Medicare
The newly revised forms are fully compliant and rejection proof, so healthcare providers get paid quicker
Printed with OCR "dropout" red ink on 20# paper as per government specifications
NPI Compliance Guaranteed
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