TO VISIT OUR NEW WEBSITE CLICK HERE

8-1/2" x11" CMS HCFA 1500, Laser Fromat

Qty:

3 Review(s)

Availability: In stock

$28.70

Specifications

SKU:	CM44
Paper Size:	8-1/2 x11"
Parts:	1
Qty. Per Carton:	2500 (5 Packs of 500)
Type:	Laser
Paper Weight:	20# for laser
Color:	White
Qty. Per Pack:	500

Product Attachments

CM44 Size: (224.02 KB)

Description about the product

• Required for any health-care provider in order to bill a insurance co. for reimbursement of a medical claim.

• CMS-1500 (version 02/12) replaced the old version 08/05

• The 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.

• Laser format 20-lb paper with OCR "dropout" red ink for greater scanning accuracy.

• SFI Certified — Certified to meet SFI standards.

For the Continuous CMS 1500 click here

FAQs

Q) Why was the 1500 Claim Form changed?

A) The form was been changed 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).

Q) What is the latest revision?

A) The most recent form is “Revision 02/12.”

Q) What are the specific changes that were made to the form?

A) The most significant changes were the addition of eight diagnosis codes in Item Number 21 and the addition of the QR Code at the top left of the form. no more barcode on the top left, For a complete list of the changes from the current (08/05) version to the revised (02/12), view the Change Log Document (PDF)

[link to http://www.nucc.org/images/stories/PDF/version_0212_1500_change_log.pdf] posted on the NUCC website.

Q) Why was the QR Code added to the top of the form?

A) The QR Code includes a link to an NUCC landing page to provide information about this hcfa form. It also helps align the form for the reader.

Write Your Own Review

Customer Reviews

they have the very best price Review by Ricky: I used to buy my claim forms from another source and paid a lot more for them. One day decided on a whim to check around pricing and was amazed to find that, not only did they have them available, but they also were much cheaper. And now we must upgrade to the newest version, so it was time to order more. Once again, they have the best price out there. And two day shipping, its unbeatable
(Posted on 12/28/14)
was shocked at the great price. Review by Lorry: As a owner of a small billing and coding company every dollar counts. I came across the claim forms and was shocked at the great price. I thought something had to be wrong with them because other stores charge triple what I paid. I was wrong the hcfa forms are perfect and I will continue to order from them in the future. (Posted on 11/6/14)
happy with the product Review by a happy client: I am very happy with the product and how fast we received it.

a happy client (Posted on 12/18/11)

My Cart

You have no items in your shopping cart.

Compare Products

You have no items to compare.

Featured Items

Integrated Label Form, 1 Label 6x4", 1 Horz. Perf. on Left
Code: 1502
$50.25
Integrated Label Form, 4 Labels 2" x 1" on the Bottom
Code: 1500
$50.25

Testimonials

Write A Feedback

Very Satisfied - Estimated Date of Delivery was 7-18-2011 but VERY HAPPY to Receive the NEXT DAY!!!
Item was difficult to find elsewhere at an affordable price. Very happy with my purchase.

8-1/2" x11" CMS HCFA 1500, Laser Fromat

Product Attachments

Write Your Own Review

You're reviewing: 8-1/2" x11" CMS HCFA 1500, Laser Fromat

Customer Reviews