CMS-1500 Laser Printer Medical Claims Form - 2500 Sheets, Revised 02/12

CMS-1500 Laser Printer Medical Claims Form - 2500 Sheets, Revised 02/12 by Jaxplaza at Student Help Forum. MPN: 1500. Hurry! Limited time offer. Offer valid only while supplies last. Item Number 1500NC This form accommodates the reporting of the National Provider Identifier (NPI). Printed in red ink on special bond paper in strict compliance with NUCC and CMS regulations and specifications. These claim forms (formerly HCFA-1500) are used to submit health insurance claims for services provided by health care professionals to Medicare and Medicaid, insurance companies or clearinghouses for processing. Printed in red ink on special bond paper in strict compliance with governmen

Product Description & Reviews

Item Number 1500NC This form accommodates the reporting of the National Provider Identifier (NPI). Printed in red ink on special bond paper in strict compliance with NUCC and CMS regulations and specifications. These claim forms (formerly HCFA-1500) are used to submit health insurance claims for services provided by health care professionals to Medicare and Medicaid, insurance companies or clearinghouses for processing. Printed in red ink on special bond paper in strict compliance with government regulations and specifications. Available in both laser and pin-fed continuous formats Size: 8 1/2 x 11 Red Ink Most recent update (02/12)

Features & Highlights

Strict compliance with government regulations and specifications
Most recent update (02/12)
See below for complete product details

Additional Information

Brand:

Jaxplaza

Manufacturer:

Jaxplaza

Category:

Insurance Claim Forms

MPN:

1500

UPC:

053926153237

Part Number:

1500

Size:

8 1/2" x 11"

Publisher:

Jaxplaza

Binding:

Office Product

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