ABC CMS-1500 Laser Sheet Insurance Claim Form, Version 02/12

Price range: $81.00 through $270.00

  • Version: 02/12 – accommodates reporting of the National Provider Identifier (NPI)
  • Compatibility: Optimized for ICD-10 code usage
  • Format: Single-sheet, laser printer compatible
  • Ink: OCR scannable red ink
  • Approval: NUCC (National Uniform Claim Committee) approved
  • HIPAA Compliance: Supports NPI numbers as required by HIPAA
  • Made in USA: Proudly manufactured in the United States for quality and reliability

Designed for precision and compliance, this single-sheet CMS-1500 form is ideal for submitting professional healthcare claims. Printed in OCR scannable red ink and approved by the NUCC, it supports ICD-10 coding and includes fields for NPI numbers in accordance with HIPAA regulations. Compatible with most laser printers and proudly manufactured in the USA, it ensures reliable performance and regulatory accuracy.

Quantity

500, 1000, 1500, 2000, 2500

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