Benefits and Features
Speed third-party billing and manage your cash flow with this AMA and CMS approved claim form for your laser printer.
Includes all updates to 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.
- Single sheet format works with most laser printers.
- Quantity: Comes in packs of 500.