- Claim Forms
- CMS-1500 (HCFA) Claim Forms New Version (02/12) Laser 5000 Count (2 boxes)
CMS-1500 (HCFA) Claim Forms New Version (02/12) Laser 5000 Count (2 boxes)
CMS 1500 Claim Forms
CMS 1500 forms are the standardized medical billing forms for professional (non-institutional) medical billing of health insurance claims in the United States.
Our form is the official CMS 1500 form version is 02/12 in use for non- institutional providers and suppliers to bill Medicare, payers and insurance companies. No other version of the form OMB-0938-0999 form is acceptable to use after April 1, 2014.
Claims must be submitted on original, not photocopied, print versions of the CMS-1500 forms
Our forms are printed in a special OCR-scannable red ink.
5,000 count (2 boxes)
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