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CMS-1500 Laser Printer Medical Claims Form - 2500 Sheets, Revised 02/12

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$59.99

$ 28 .99 $28.99

In Stock

About this item

  • Approved CMS-1500 form (02/12) to replace the previous CMS form (08/05)
  • Fully updated with the latest revisions, the new CMS-1500 form is 100% compliant and printed to exact specifications for layout, paper and ink.
  • Carbonless bond paper for jam-free performance and are printed in OCR-scannable red ink
  • All forms are government approved CMS-1500 to serve federal programs and private insurers as a universal claim form.
  • Approved OMB-0938-1197 (02/12). Payers will begin to accept these forms starting January 6th, 2014. And will only accept this version as of April 1st, 2014


Stock up now. Prices are expected to rise. 1 Part Laser (2500 Single Sheets - for Laser/Inkjet Printers). 02/12 Version.......... Both CMS and the NUCC have issued their transition timelines, affecting providers that accept government and private insurance. The final transition timeline for implementation of the revised CMS-1500 claim form is as follows:........ ............... January 6, 2014: Private insurance carriers and Medicare begin receiving and processing paper claims on the revised CMS-1500 claim form (02/12). ..................... January 6 - March 31, 2014: Dual-use period during which private insurance carriers and Medicare continue to receive and process paper claims submitted on either version of the form....................................................... April 1, 2014: The current claim form (08/05) is discontinued; all private insurance carriers and Medicare receives and processes paper claims submitted only on the revised CMS-1500 claim form (02/12).


Customer
2025-07-31 17:32:31
DENIALS OVER COLOR INCORRECT FROM INSURANCE. NEEDS TO BE FLINT OCR RED.
Customer
2025-04-21 16:43:44
product delivered and worked as promised.
Y
2025-04-13 11:17:27
PRINTED COLOR IS NOT GOOD. I GOT DENIED ALL CLAIMS FROM INSURANCE. REASON IS VERY LOW RED COLOR ON THE FORM.
Tina M
2025-04-11 14:09:22
Ordered from them twice, both times fast delivery and the forms were perfect for my laser HP printer.
Debbie A. Cook
2025-03-28 18:38:00
Works well for our needs.
nomdejan
2025-01-23 16:03:56
Very misleading bought one case, when opened discovered not the newly required forms. Obsolete forms. Would give ) stars if possible.
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