Compuchecks New Cms 1500 Claim Forms - Hcfa (Version 02/12) (500 Sheets), 7106

★★★★★ 4.2 145 reviews

US$8.56
Price when purchased online
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US$8.56
Price when purchased online
Free shipping Free 30-day returns

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Product details

Management number 237017293 Release Date 2026/07/10 List Price US$8.56 Model Number 237017293
Category
  • SUPERIOR QUALITY: Our CMS-1500 insurance claim forms are manufactured and printed in the USA by US government certified printers on bright white Thick 20 LB paper; compatible with Laser and Inkjet printers. Printed in red ink.
  • All printed fields, boxes, and layout will perfectly align with the correct boxes for easy printing with billing software. No need to change settings when using these high-quality HCFA 1500 claim forms! Printed on red ink for greater scanning accuracy.
  • COMPLIANT WITH ALL GOVERNMENT STANDARDS: Each UB04 Claim Form has accurate content and adheres to strict government standards developed by HIPAA in conjunction with CMS Centers for Medicare and Medicaid Services, NUBC, NUCC, Health and Human Services Agency, and American Hospital Association.
  • SIMPLY YOUR COMPENSATION PROCESS with our 2012 approved CMS-1500 Health Insurance Claim Forms. 500 sheets, proudly made in the USA. Widely accepted by hospitals, nursing facilities, and other in-patient providers since 2014.
  • LATEST APPROVED VERSION FORMS: CMS/HCFA 1500 claim forms (02/2012 version) are the currently approved forms that replaced (version 08/05) CMS-1500 Forms; required for health care providers to bill a patient's insurance company for reimbursement of medical claims.
UPC 090146171061
ASIN B00HNDPJMQ
Color white
Brand Name Compuchecks
Brightness 95
Paper Size 8.5-x-11-inch (500 Sheets) Inches
Unit Count 500 Count
Sheet Count 500
Manufacturer Formsandchecks
Paper Finish Smooth
Paper Weight 20
Material Features Biodegradable
Item Dimensions L x W 11"L x 2"W
Global Trade Identification Number 00090146171061

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4.2 out of 5
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