8-1/2" x11" CMS HCFA 1500, Laser Format
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$36.16
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$36.16
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• Required for any health-care provider in order to bill a insurance co. for reimbursement of a medical claim.
• CMS-1500 (version 02/12) replaced the old version 08/05
• The form must have accurate content and conform to the Health Insurance Portability and Accountability Act (HIPAA). Developed in conjunction with all the governing agencies, including the National Uniform Claim Committee (NUCC), the National Uniform Billing Committee (NUBC), the CMS Centers for Medicare and Medicaid Services, the Health and Human Services Agency, and the American Hospital Association.
• Laser format 20-lb paper with OCR "dropout" red ink for greater scanning accuracy.
• SFI Certified — Certified to meet SFI standards.

Title Tag: CMS 1500 / HCFA 1500 Insurance Claim Forms - For as Low as $12.99 per 500! Plus Free Fast shipping
Color: White
Size: 500
Qty per carton: 5 reams of 500 ( 2500 )
Cartons per pallet: 80
Paper Weight: 20#
Paper Size: 8-1/2 x11
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