Benefits and Features
Speed third-party billing and manage your cash flow with this AMA and CMS approved claim form.
Includes all updates in the 02/12 version approved by the NUCC (National Uniform Claim Committee)
Convenient and easy to use!2-part carbonless forms on 20#/15# self-duplicating stock, printed in OCR red ink.
Accommodates NPI numbersas mandated by HIPAA.
Accepted by mosthealth insurance companies.
Quantity:Comes in packs of 250.