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New CMS 1500 Claim Forms - 25 Sheets (02/12 Version) for Laser or Inkjet Printers

5.0 (8) Write Review
Free shipping on orders over $29.99

$13.88

$ 6 .99 $6.99

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 (25 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).


Lisa Lee
2025-09-05 17:12:01
The order arrived super fast. It was nice to be able to order just a few, since we do everything electronically and rarely need one of these forms. It didn't cost an arm and a leg.
Rhonda Johnson
2025-07-09 13:40:13
I was expecting more for the price of the product.
California Girl
2025-07-08 19:59:34
Forms are high quality, good red color, and align well with my billing software. I'm placing another order.
ralanc
2025-06-18 14:24:17
Liked because:1- Small quantity available, all I needed2- Very reasonable price3- Quick delivery4- Have tested forms in laser printer, worked ok
Conscious Consumer
2025-03-22 21:46:51
Exactly what I needed! Prompt delivery too!
Customer
2025-03-06 17:40:00
Filing made easy!!
kz
2025-01-09 17:17:28
Prompt, perfect
Linda Jensen
2024-12-03 18:20:26
should have purchased more