The CMS-1500 (02/12) form is essential for healthcare providers to bill insurance companies for medical claim reimbursements. This form is AMA and CMS approved, facilitating efficient third-party billing and cash flow management. The CMS 1500 form is the official form version 02/12 for non-institutional providers and suppliers to bill Medicare, payers, and insurance companies
Business Forms & Folders, Healthcare Forms, Medical clinical forms
ABC CMS-1500 Laser Sheet Insurance Claim Form, Version 02/12
$81.00 – $270.00
- Version: 02/12, which is designed to accommodate the reporting of the National Provider Identifier (NPI) Number.
- Compatibility: Optimized for use with ICD-10 codes.
- Format: Single-sheet format compatible with most laser printers.
- Ink: Printed in OCR scannable red ink.
- Approval: Approved by NUCC (National Uniform Claim Committee).
- HIPAA Compliance: Accommodates NPI numbers as mandated by HIPAA
- Made with pride in USA