Benefits and Features
Speed third-party billing and manage your cash flow with this AMA and CMS approved claim formin a convenient laser pad format.
Includes all updates in the 02/12 version approved by the NUCC (National Uniform Claim Committee)
Convenient and easy to use!1-part form on 20# white bond stock, printed in OCR red ink.
Accommodates NPI numbersas mandated by HIPAA.
Accepted by mosthealth insurance companies.
Easy fill and tearsingle sheet format works with most laser printers.
Quantity:100 insurance claim forms per pad.