CMS-1500 Laser Sheet Insurance Claim Form, Version 02/12

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.