My Cart

CMS 1500 Claim Forms "ICD-10" HCFA (Version 02/12) - Health Insurance, Laser Cut Sheet - 1000 Sheets

twiHealthcare
SKU: EZFB0151ZFNEQ
Out Of Stock
$39.93

Description

  • BUY MULTIPLE ITEMS AND SAVE ON SHIPPING!----ORDER BEFORE 2:00 PM est (M-F) SHIPS SAME DAY!
  • 100% guaranteed compliance. For physicians, the CMS 1500 meets The Centers for Medicare and Medicaid Services guidelines.
  • CMS 1500 (02/12) claim forms are available for use with the ICD-10 codes.
  • Look on our Amazon Store (TWIhealthcare) for ICD-10 envelopes and other products.

    • Look on our Amazon Store (TWIhealthcare) for ICD-10 envelopes and other products. Approved by the National Uniform Claim Committee (NUCC); HIPAA compliant. This form was revised to align the paper form with some of the changes in the electronic health care claims: Professional (837), 005010X222 Technical Report Type 3 (5010) and 005010X222A1 Technical Report Type 3 (5010A1). The most significant change was the addition of 8 diagnosis codes in field 21. Includes new QR code identifier at the top of the form that supports and aligns with Industry scanning systems. Printed with OCR "dropout" red ink on 20lb. paper (per government regulations). Form not available personalized. Certified Chain of Custody; promotes sustainable forest management. Size: 8-1/2x11".
    Brand: twiHealthcare, Model: WCMS-1500 (02/12), Color: OCR Red

    Custom Tab 01

    At vero eos et accusamus et iusto odio dignissimos ducimus qui blanditiis praesentium voluptatum deleniti atque corrupti quos dolores et quas molestias excepturi sint occaecati cupiditate non provident, similique sunt in culpa qui officia deserunt mollitia animi, id est laborum et dolorum fuga. Et harum quidem rerum facilis est et expedita distinctio. Nam libero tempore, cum soluta nobis est eligendi optio cumque nihil impedit quo minus id quod maxime placeat facere possimus, omnis voluptas assumenda est, omnis dolor repellendus. Temporibus autem quibusdam et aut officiis debitis aut rerum necessitatibus saepe eveniet ut et voluptates repudiandae sint et molestiae non recusandae. Itaque earum rerum hic tenetur a sapiente delectus, ut aut reiciendis voluptatibus maiores alias consequatur aut perferendis doloribus asperiores repellat.

    Also Bought Recommendations