TRUJILLO & SONS INC.

TRUJILLO & SONS INC. CMS12LC500 ComplyRight CMS-1500 Health Insurance Claim Form (02/12), Laser-Cut Sheet, 8 1/2in x 11in, White, Case of 500

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Satisfy medical billing requirements with compliant CMS-1500 forms. Its always best to have forms on hand to prevent delays. Stock up on CMS-1500 health insuran…
SKU:
CMS12LC500
UPC:
015171908123
Condition:
New
Weight:
5.36 LBS
Minimum Purchase:
1 unit
Shipping:
Calculated at Checkout
Unit of Measure:
PK
QPU:
500
Country of Origin:
US
UNSPSC Code:
14111806
UNSPSC Commodity:
Business forms or questionnaires
DEPT:
DATED AND FORMS
CLASS:
FORMS / BUSINESS FORMS
$39.43
Hurry up! Current stock:
Satisfy medical billing requirements with compliant CMS-1500 forms. Its always best to have forms on hand to prevent delays. Stock up on CMS-1500 health insurance claim forms today. Required for healthcare providers to bill a patients insurance company for reimbursement of medical claims. CMS-1500 (version 02/12) replaces form (version 08/05). Providers should check with their payer and/or clearinghouses to determine which version they will accept. Forms must adhere to strict printing standards that govern the layout, paper and ink. Each form must have accurate content and conform to the Health Insurance Portability and Accountability Act (HIPAA). Developed in conjunction with all the governing agencies, including the National Uniform Claim Committee (NUCC), the National Uniform Billing Committee (NUBC), the CMS Centers for Medicare and Medicaid Services, the Health and Human Services Agency, and the American Hospital Association. 20-lb paper with OCR "dropout" red ink for greater scanning accuracy. Corresponding envelopes sold separately. SFI Certified - Certified to meet SFI standards.

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