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Specification
Brand : ComplyRight
BulletPoint1 : Required for healthcare providers to bill a patient's insurance company for reimbursement of medical claims
BulletPoint2 : Forms adhere to strict printing standards that govern the layout, paper and ink
BulletPoint3 : 20-Lb paper with OCR "dropout" red ink for greater scanning accuracy
BulletPoint4 : SFI certified - certified to meet SFI standards
BulletPoint5 : CMS-1500 forms are required for health care providers to receive reimbursements for clients, Medicare begin accepting the NEW 02/2012 version in January of 2014 and now only Accepts this version
CareInstructions : Wipe with Dry Cloth
Color : Red & White
CustomerPackageType : Standard Packaging
ExternallyAssignedProductIdentifier : 50015171275824
ExternallyAssignedProductIdentifier1 : 810019031052
ExternallyAssignedProductIdentifier2 : 0810019031052
IsDishwasherSafe : 1
ItemName : ComplyRight CMS 1500 Healthcare Billing Form - 02/12, Laser, 250-Count (CMS12LC250)
ItemPackageDimensions_Height : 28.702 centimeters
ItemPackageDimensions_Length : 3.302 centimeters
ItemPackageDimensions_Width : 22.606 centimeters
ItemPackageQuantity : 250
ItemTypeKeyword : business-claim-forms
Manufacturer : ComplyRight
Material : Paper
ModelNumber : CMS12LC250
NumberOfItems : 1
OccasionType1 : Wedding
OccasionType2 : Anniversary
OccasionType3 : Birthday
PackageLevel : unit
PaperSize : 8.5 X 11 inches
PartNumber : CMS12LC250
Pattern : Solid
ProductDescription : SecurityDocs CMS-1500 Health Insurance Claim Forms - Laser/Ink-Jet Compatible - 500 Sheets - 8.5x11 (NUCC, OMB APPROVED HCFA-1500 'NEW' Version 02/12) Forms Will line up with Billing Software, OMB-0938-1197 FORM 1500 (02-12).

Process claims easily with these SecurityDocs CMS-1500 Health Insurance Claim Forms.

Keep your human resource or billing department stocked with these health insurance claim forms.

The preprinted fields provide spaces for names, addresses, service codes and other essential information, and the red OCR ink is ideal for scanning tasks.

These SecurityDocs CMS-1500 forms are compatible with laser printers, so your staff can populate and print claims with crisp, clear results.

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), 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).

Size: 8-1/2x11.

The Centers for Medicare and Medicaid Services (CMS) healthcare forms are required for all federal insurance claims and many private healthcare organizations.

New Version 02/12: Medicare begin accepting this Version 02/12 on 01/06/14.
Starting 04/04/14 Medicare will accept this Version 02/12 only.

ProductSiteLaunchDate : 2016-04-15T07:00:00-00:00
RecommendedUsesForProduct : Food
Size : 250 Count
SterilityRating : Sterile
StreetDate : 2018-08-01T00:00:01Z
Style : Modern
SupplierDeclaredDgHzRegulation : not_applicable
TrayType : Serving Tray
UnitCount : 250