HCFA Forms
- Product Description
- Faq
- Reviews
Details
• 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.
Faq
A) The form was been changed to align the paper form with some of the changes in the electronic Health Care Claims: Professional (837), 005010X222 Technical Report Type 3 (5010) and 005010X222A1 Technical Report Type 3 (5010A1).
Q) What is the latest revision?
A) The most recent form is “Revision 02/12.”
Q) What are the specific changes that were made to the form?
A) The most significant changes were the addition of eight diagnosis codes in Item Number 21 and the addition of the QR Code at the top left of the form. no more barcode on the top left, For a complete list of the changes from the current (08/05) version to the revised (02/12), view the Change Log Document (PDF)
[link to http://www.nucc.org/images/stories/PDF/version_0212_1500_change_log.pdf] posted on the NUCC website.
Q) Why was the QR Code added to the top of the form?
A) The QR Code includes a link to an NUCC landing page to provide information about this hcfa form. It also helps align the form for the reader.
Customer Reviews
- medical billing must have Review by Dr. Meislin
- If you need to do paper claims, this is the accessory for you. Already colored. Just fill and print. (Posted on 10/23/2017)
- Very satisfied!!!! Review by Ricky F.
- Very satisfied!!!! (Posted on 7/26/2017)
- Will buy them again Review by James Cat
- Five Star Forms (Posted on 6/15/2017)
- Save Money and get the Same HCFA Form! Review by R. L.
- I used to purchase these forms for close to double the price! Excellent quality, no issues with printing. (Posted on 6/15/2017)
- Great price!! Review by Dr. Levy
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Been using these forms for years. Recommend them to anyone who does billing.
(Posted on 6/15/2017)
Write Your Own Review
- Description
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- Reviews
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Customer Reviews 5 item(s)
- medical billing must have
- If you need to do paper claims, this is the accessory for you. Already colored. Just fill and print.
- Very satisfied!!!!
- Very satisfied!!!!
- Will buy them again
- Five Star Forms
- Save Money and get the Same HCFA Form!
- I used to purchase these forms for close to double the price! Excellent quality, no issues with printing.
- Great price!!
-
Been using these forms for years. Recommend them to anyone who does billing.