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Home > CLAIM FORMS > NEW Version 08-05 CMS-1500 Laser/Inkjet Insurance Claim Form (2,500/BX)
NEW Version 08-05 CMS-1500 Laser/Inkjet Insurance Claim Form (2,500/BX)
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Regular Price: $49.99
Our Price: $34.50
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Version 08/05 is the Most Up to date approved CMS 1500 Claim Form. Orders Today. (2500 Per Box. ($7.50/Box Shipping will be added to the order.) Lowest Price Guaranteed!
The CMS-1500 contains a number of improvements and enhancements that include better alignment with the electronic HIPAA ASC X12N 837-non Institutional Transaction Standard. The New 1500 paper claim form will be able to accommodate the reporting of the National Provider Identifier (NPI) Number. The NPI will be a single provider identifier, replacing the different provider identifiers healthcare systems currently use for each health plan with which you do business. The NPI Identifier, which implements a requirement of the Health Insurance Portability and Accountability Act of 1996 (HIPAA), must be used by all HIPAA covered entities, which are health plans, healthcare clearinghouses, and healthcare providers.
FOR LARGER QUANTITIES CALL 877-993-6767 EXT 1
$7.50 PER CASE SHIPPING
Additional InformationFor details on the Form Update, Click Here
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Our Price: $54.86/BX (AS LOW AS $31.48/PER 500) SEE MORE INFO
#10 HCFA SELF SEAL RIGHT CENTER WINDOW ENVLP. IMPRINT
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Our Price: (AS LOW AS $19.29 PER 100) SEE MORE INFO
9.5 x 12 Designed for Submitting up to 50 Claim Forms Per Envelope
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Our Price: $42.67/BX (AS LOW AS $21.92/PER 500) SEE MORE INFO
#10 HCFA RIGHT/CENTER WINDOW ENV. GUMMED (Custom Printed with Return Address) 9-1/2X4-1/8 W INSDIE TINT
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