CMS-1500 02/12 Claim Forms
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 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