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: 58.00 USD
Availability: InStock

Sku: 60150X

Qty	Price	Unit Price
500	$58.00	$0.12
1000	$88.50	$0.09
1500	$120.50	$0.08
2000	$158.00	$0.08
2500	$193.00	$0.08
5000	$393.00	$0.08
7500	$583.00	$0.08
10000	$774.50	$0.08
15000	$1,158.50	$0.08
20000	$1,505.00	$0.08
25000	$1,882.00	$0.08
30000	$2,256.50	$0.08
50000	$3,573.00	$0.07
62500	$4,464.50	$0.07
75000	$5,223.00	$0.07
100000	$6,336.50	$0.06
160000	$8,723.00	$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)