Free & Fast Shipping
You have no items in your shopping cart.
TO VISIT OUR OLD WEBSITE Click Here
SKU: 8390
$17.51
Availability:
Many In Stock
HCFA 1500 / CMS 1500 Claim Forms is required to use to bill Insurance / Medicare and all federal insurance, now you need to use only the New 2012 Version Each 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 Forms must adhere to strict printing standards that govern the layout, paper and ink. This Pack Contains 250 sheets is made in the USA by Next Day Labels TM, and will work for All Laser / Ink Jet or Copy Machines
- 1-Part 8-1/2" X 11" Laser Form CMS-1500 printed in red ink
- Required for health-care providers to bill a patient's insurance company for reimbursement.
- New Version 02/12 (APPROVED OMB-0938-1197) Medicare now accept this Version 02/12 only.
- Made in USA by Next Day Labels TM
- 250 sheets per pack
Also Purchased
2 Part Carbonless Patients Sign in Forms (50)
2 Part confidentially sign in forms is approved and required by the HIPAA, Every single patient who comes in to the dr. office will sign on the next line removable...
$52.57
2 Part Carbonless Patients Sign in Forms (100)
2 Part confidentially sign in forms is approved and required by the HIPAA, Every single patient who comes in to the dr. office will sign on the next line removable...
$105.15
2 Part Carbonless Patients Sign in Forms (250)
2 Part confidentially sign in forms is approved and required by the HIPAA, Every single patient who comes in to the dr. office will sign on the next line removable...
$227.26
NCR Carbonless 3 Part Patient Sign in Forms, HIPAA Approved and Compliant for Confidentiality in All Medical Offices. (Green)
Green color carbon-less 3 part sign in forms is required by the HIPAA, Every single patient who comes in to the doctor (medical) office will sign on the next line...
$25.89
NCR Carbonless 3 Part Patient Sign in Forms, HIPAA Approved and Compliant for Confidentiality in All Medical Offices. (Blue)
Blue color carbon-less 2 part sign in forms is required by the HIPAA, Every single patient who comes in to the doctor (medical) office will sign on the next line...
$23.99
NCR Carbonless 3 Part Patient Sign in Forms, HIPAA Approved and Compliant for Confidentiality in All Medical Offices. (Purple)
Pack of 25 Sets Patients Sign in Sheets (Purple) Confidentiality and privacy are of key importance in professional medical offices, and our Next Day Labels Patient sign-in sheets are the...
$23.99
NCR Carbonless 3 Part Patient Sign in Forms, HIPAA Approved and Compliant for Confidentiality in All Medical Offices. (Burgundy)
Burgundy color carbon-less 3 part sign in forms is required by the HIPAA, Every single patient who comes in to the doctor (medical) office will sign on the next line...
$23.99
