

CMS-1500 Laser Printer Medical Claims Form - 2500 Sheets, Revised 02/12
Key item features
- Approved CMS-1500 form (02/12) to replace the previous CMS form (08/05)
- Fully updated with the latest revisions, the new CMS-1500 form is 100% compliant and printed to exact specifications for layout, paper and ink.
- Carbonless bond paper for jam-free performance and are printed in OCR-scannable red ink
- All forms are government approved CMS-1500 to serve federal programs and private insurers as a universal claim form.
- Approved OMB-0938-1197 (02/12). Payers will begin to accept these forms starting January 6th, 2014. And will only accept this version as of April 1st, 2014
Specs
- Standard form & application typeClaim Form
- BrandEspera
- Sheets2500
- MaterialCarbonless bond paper
- Piece count2500
- ColorRed
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Product details
Product Description
Stock up now. Prices are expected to rise. 1 Part Laser (2500 Single Sheets - for Laser/Inkjet Printers). 02/12 Version.......... Both CMS and the NUCC have issued their transition timelines, affecting providers that accept government and private insurance. The final transition timeline for implementation of the revised CMS-1500 claim form is as follows:........ ............... January 6, 2014: Private insurance carriers and Medicare begin receiving and processing paper claims on the revised CMS-1500 claim form (02/12). ..................... January 6 - March 31, 2014: Dual-use period during which private insurance carriers and Medicare continue to receive and process paper claims submitted on either version of the form....................................................... April 1, 2014: The current claim form (08/05) is discontinued; all private insurance carriers and Medicare receives and processes paper claims submitted only on the revised CMS-1500 claim form (02/12).
- Approved CMS-1500 form (02/12) to replace the previous CMS form (08/05)
- Fully updated with the latest revisions, the new CMS-1500 form is 100% compliant and printed to exact specifications for layout, paper and ink.
- Carbonless bond paper for jam-free performance and are printed in OCR-scannable red ink
- All forms are government approved CMS-1500 to serve federal programs and private insurers as a universal claim form.
- Approved OMB-0938-1197 (02/12). Payers will begin to accept these forms starting January 6th, 2014. And will only accept this version as of April 1st, 2014
Specifications
Standard form & application type
Brand
Sheets
Material
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