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Get it between 2024-12-03 to 2024-12-10. Additional 3 business days for provincial shipping.
1-Part 8-1/2" X 11" Laser Form CMS-1500 printed in red ink
Required for health-care providers to bill a patient's insurance company for reimbursement.
New Version 02/12 (APPROVED OMB-0938-1197) Medicare now accept this Version 02/12 only.
Made in USA by Next Day Labels TM
250 sheets per pack
HCFA 1500 / CMS 1500 Claim Forms is required to use to bill Insurance / Medicare and all federal insurance, now you need to use only the New 2012 Version Each form must have accurate content and conform to the Health Insurance Portability and Accountability Act (HIPAA). Developed in conjunction with all the governing agencies, including the National Uniform Claim Committee (NUCC), the National Uniform Billing Committee (NUBC), the CMS Centers for Medicare and Medicaid Services, the Health and Human Services Agency, and the American Hospital Association Forms must adhere to strict printing standards that govern the layout, paper and ink. This Pack Contains 250 sheets is made in the USA by Next Day Labels TM, and will work for All Laser / Ink Jet or Copy Machines