EDISION

New CMS 1500 Claim Forms - HCFA (Version 02/12) (100 Sheets) 100 Sheets

Description: New CMS 1500 Claim Forms - HCFA (Version 02/12) (100 Sheets) ✓ Free 60 Day Returns ✓ Free Express Shipping Description: Features: SUPERIOR QUALITY: Our CMS-1500 insurance claim forms are manufactured and printed in the USA by US government certified printers on bright white Thick 20 LB paper; compatible with Laser and Inkjet printers. Printed in red ink.All printed fields, boxes, and layout will perfectly align with the correct boxes for easy printing with billing software. No need to change settings when using these high-quality HCFA 1500 claim forms! Printed on red ink for greater scanning accuracy.COMPLIANT WITH ALL GOVERNMENT STANDARDS: Each UB04 Claim Form has accurate content and adheres to strict government standards developed by HIPAA in conjunction with CMS Centers for Medicare and Medicaid Services, NUBC, NUCC, Health and Human Services Agency, and American Hospital Association.SIMPLY YOUR COMPENSATION PROCESS with our 2012 approved CMS-1500 Health Insurance Claim Forms. 500 sheets, proudly made in the USA. Widely accepted by hospitals, nursing facilities, and other in-patient providers since 2014.LATEST APPROVED VERSION FORMS: CMS/HCFA 1500 claim forms (02/2012 version) are the currently approved forms that replaced (version 08/05) CMS-1500 Forms; required for health care providers to bill a patient's insurance company for reimbursement of medical claims. Product Details: Manufacturer: ‎FormsandchecksBrand: ‎CompuchecksItem Weight: ‎1.08 poundsProduct Dimensions: ‎2.2 x 8.5 x 11 inchesItem model number: ‎07106Is Discontinued By Manufacturer: ‎NoMaterial Type: ‎PaperSize: ‎100 SheetsManufacturer Part Number: ‎6508Date First Available: March 21, 2017

Price: 20.22 USD

Location: United States

End Time: 2025-01-13T10:20:00.000Z

Shipping Cost: 0 USD

Product Images

New CMS 1500 Claim Forms - HCFA (Version 02/12) (100 Sheets) 100 SheetsNew CMS 1500 Claim Forms - HCFA (Version 02/12) (100 Sheets) 100 SheetsNew CMS 1500 Claim Forms - HCFA (Version 02/12) (100 Sheets) 100 SheetsNew CMS 1500 Claim Forms - HCFA (Version 02/12) (100 Sheets) 100 SheetsNew CMS 1500 Claim Forms - HCFA (Version 02/12) (100 Sheets) 100 Sheets

Item Specifics

Return shipping will be paid by: Seller

All returns accepted: Returns Accepted

Item must be returned within: 60 Days

Refund will be given as: Money Back

Return policy details:

Style: 100 Sheets

Brand: Compuchecks

MPN: 07106

EAN: Does not apply

UPC: Does not apply

Manufacturer Part Number: 07106

Recommended

25 Blank Check paper "High Security" - Check on Top - Grey Red Art Deco
25 Blank Check paper "High Security" - Check on Top - Grey Red Art Deco

$15.11

View Details
100 Blank Check Stock Paper - Check on Bottom - Gold Pinstripe
100 Blank Check Stock Paper - Check on Bottom - Gold Pinstripe

$20.51

View Details
50 Blank Check paper "High Security" - Check on Top - Dark Blue Art Deco
50 Blank Check paper "High Security" - Check on Top - Dark Blue Art Deco

$19.43

View Details
1000 High Security Blank Check Stock Paper - Check on Top -  Green Basketweave
1000 High Security Blank Check Stock Paper - Check on Top - Green Basketweave

$72.35

View Details
500 High Security Blank Check Stock Paper - Check on Top -  Gold Basketweave
500 High Security Blank Check Stock Paper - Check on Top - Gold Basketweave

$45.89

View Details
1000 Blank Check Stock Paper - Check on Top -  Blue Red Cubed - "High Security"
1000 Blank Check Stock Paper - Check on Top - Blue Red Cubed - "High Security"

$69.99

View Details
25 Blank Check Stock Paper - 3 On Page Business Computer Check - Green Pinstripe
25 Blank Check Stock Paper - 3 On Page Business Computer Check - Green Pinstripe

$10.79

View Details
50 Blank Check Stock Paper - Check on Top - Blue/Green Prismatic
50 Blank Check Stock Paper - Check on Top - Blue/Green Prismatic

$15.11

View Details
25 Blank Check Stock Paper - 3 on a Page Business - Blue Diamond
25 Blank Check Stock Paper - 3 on a Page Business - Blue Diamond

$9.99

View Details
25 High Security Blank Check Stock Paper - Laser Check on Top - Blue Red Cubed
25 High Security Blank Check Stock Paper - Laser Check on Top - Blue Red Cubed

$13.99

View Details