CMS 1500 Claim Forms "ICD-10" HCFA (Version 02/12) - Health Insurance, Laser Cut Sheet - 2500 Sheets

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 20 pounds. paper (per government regulations). Form not available personalized. Certified Chain of Custody; promotes sustainable forest management. Size: 8-1/2x11\".

• CMS 1500 Claim Forms - HCFA (Version 02/12) 2,500 SHEETS, APPROVED OMB-0938-1197
• ComplyRight CMS-1500 9"X 121/2" Jumbo Right Window Envelope, Self Seal, 500-Count (1500LR)
• 1InTheOffice #10, Right Window Security-Tint Gummed Envelopes, 500/Box
• Quality Park Claim Form Envelope, Redi-Seal, 24 lbs, 4-1/2 x 9-1/2 Inches, 500 per Box, White (QUA21438)
• New 2500 CMS 1500 Claim Forms - Current HCFA 02/2012 Version (OMB-0938-1197) - Forms Will Line Up with Billing Software and Laser Compatible - 2500 Sheets - 8.5 Inch x 11
• Quality Park, HCFS-1508 Window Envelopes, Redi-Seal, First Class, White, 100 per Box,(54692)
• NEW CMS-1500 INSURANCE CLAIM FORMS, HCFA (Version 02/12) - 1 CASE (2500 SHEETS/FORMS)
• 500 CMS-1500 Claim Forms - Current HCFA 02/2012 Version"New Version"- Forms Will line up with Billing Software and Laser Compatible- 500 Sheets - 8.5'' x 11
• CMS 1500 Claim Forms"New" HCFA (Version 02/12) - Health Insurance, Laser Cut Sheet - 500 Sheets
• (Pack of 500) CMS 1500 Forms, HCFA 1500 Forms, Health Insurance Claim Form, Medicare Claims for Taxes, CMS 1500 Claim Forms 02/12