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