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CMS-1500 Healthcare Claim Forms

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  • CMS-1500 (02/12) 1-Part Continuous (2,500/case)

    CMS-1500 (02/12) 1-Part Continuous (2,500/case)

    $105.54

    CMS-1500 (02/12) 1-Part Continuous (2,500/case). New CMS-1500 version 02/12 is the latest approved NUCC claim form replacing CMS-1500 version 08/05. New CMS-1500 version 02/12 is the latest approved NUCC claim form replacing CMS-1500 version 08/05. Accommodates reporting of NPI Designed for processing on high speed OCR Scanning equipment Printed in red "dropout" ink 20# Environmental…

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  • CMS-1500 (02/12) Laser Cut Sheet (1,000/case)

    CMS-1500 (02/12) Laser Cut Sheet (1,000/case)

    $38.95

    CMS-1500 (02/12) Laser Cut Sheet (1,000/case). New CMS-1500 version 02/12 is the latest approved NUCC claim form replacing CMS-1500 version 08/05. Accommodates reporting of NPI Designed for processing on high speed OCR Scanning equipment Printed in red “dropout” ink 20# Environmental Paper Alliance (EPA) Recycled Paper (White)1,000/case

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  • CMS-1500 (02/12) Laser Cut Sheet (2,500/case)

    CMS-1500 (02/12) Laser Cut Sheet (2,500/case)

    $80.99 – $96.76

    Get the forms you need for accurately submitting healthcare claims when you shop online at The Supplies Shops. The CMS-1500 version 02/12 is the latest approved NUCC claim form replacing CMS-1500 version 08/05. It’s designed with red “dropout” ink that allows printed or written text to stand out. It’s also compatible with high-speed OCR scanning…

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  • CMS-1500 (02/12) Laser Cut Sheet (250/case)

    CMS-1500 (02/12) Laser Cut Sheet (250/case)

    $20.80

    Accurately bill for healthcare services by using these CMS-1500 (02/12) Laser Cut Sheets from The Supplies Shops. These forms are often used by private and government health providers alike when billing insurance carriers or Medicare. The forms are printed in the standard red “dropout” ink according to Medicare regulations. Printed clearly on white 20# paper,…

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  • CMS-1500 (02/12) Laser Cut Sheet (500/case)

    CMS-1500 (02/12) Laser Cut Sheet (500/case)

    $24.61

    CMS-1500 (02/12) Laser Cut Sheet (500/case). New CMS-1500 version 02/12 is the latest approved NUCC claim form replacing CMS-1500 version 08/05. Accommodates reporting of NPI Designed for processing on high speed OCR Scanning equipment Printed in red "dropout" ink 20# Environmental Paper Alliance (EPA) Recycled Paper (White)500/case

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The Supplies Shops offers the newest version of the CMS-1500 / HCFA form, the CMS-1500 (02/12), which started being used in 2014 and replaced the CMS-1500 (08/05) version. The revised CMS-1500 / HCFA claim forms are used to submit Medicare, Medicaid, and other health insurance claims. 

 
New CMS-1500 02/12 claim forms come in a variety of formats, including laser cut sheets for your standard laser or desktop printer, as well as in continuous feed format for your dot matrix paper printers. The most commonly used format is laser cut sheets, loose sheets of paper packaged similarly to a standard ream of copy paper.

 
These revised CMS-1500 02/12 forms, the only current accepted CMS-1500 version, for private practice providers and anyone billing within the non-institutional medical industry contain the following features: 

  • New ICD Codes
  • Accommodates reporting of the National Provider Identifier (NPI)
  • Designed form processing on high speed OCR Scanning equipment
  • Printed in special red “dropout” ink
  • Printed on basis weight 20# paper