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 numbers as mandated by HIPAA.
- Accepted by most health insurance companies.
- Easy fill and tear single sheet format works with most laser printers.
- Quantity: 100 insurance claim forms per pad.