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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: $39.90
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Version 08/05 is the Most Up to date approved CMS 1500 Claim Form. Orders Today. (2500 Per Box. ($8.70/Per Box Shipping will be added to the order.)
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.
$8.70 PER BOX 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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