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

Speed third-party billing and manage your cash flow with this AMA and CMS approved claim form for your laser printer. Includes all updates to the 02/12 version approved by the NUCC (National Uniform Claim Committee)

Product Details	Size: 8 1/2" x 11" Convenient and easy to use! 1-part form on 20# white bond stock, printed in OCR red ink. Accommodates NPI numbers as mandated by HIPAA. Accepted by most health insurance companies. Single sheet format works with most laser printers. Quantity: Comes in packs of 500.
Min. Quantity	500
Turnaround Time:	Product # Turnaround 60150X 2 business day(s)