CMS-1500 Laser Sheet Insurance Claim Form, Version 02/12

Name: CMS-1500 Laser Sheet Insurance Claim Form, Version 02/12
Brand: SR
SKU: 60150X
Price: 53.50 USD
Availability: InStock

Sku: 60150X

Qty	Price	Unit Price
500	$53.50	$0.11
1000	$82.00	$0.08
1500	$112.00	$0.07
2000	$147.00	$0.07
2500	$179.50	$0.07
5000	$365.50	$0.07
7500	$542.00	$0.07
10000	$720.00	$0.07
15000	$1,078.00	$0.07
20000	$1,400.00	$0.07
25000	$1,750.50	$0.07
30000	$2,099.50	$0.07
50000	$3,323.50	$0.07
62500	$4,153.00	$0.07
75000	$4,858.50	$0.06
100000	$5,894.50	$0.06
160000	$8,114.50	$0.05

Description

Speed third-party billing and manage your cash flow with this AMA and CMS approved claim form for your laser printer. Includes all updates to the 02/12 version approved by the NUCC (National Uniform Claim Committee)

Specifications

Product Details

Size: 8 1/2" x 11"
Convenient and easy to use! 1-part form on 20# white bond stock, printed in OCR red ink.
Accommodates NPI numbers as mandated by HIPAA.
Accepted by most health insurance companies.
Single sheet format works with most laser printers.
Quantity: Comes in packs of 500.
Min. Qty. 500

Turnaround Time:

Product #	Turnaround
60150X	2 business day(s)