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To order by phone or for product assistance Call Toll Free: 855-632-8520

CMS-1500 02/12 Claim Forms

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 CMS-1500 02/12 claim forms come in a variety of formats, including laser cut sheets for your standard laser or desktop printer, as well as in continuous feed format for your dot matrix paper printers. The most commonly used format is laser cut sheets, loose sheets of paper packaged similarly to a standard ream of copy paper.
 
These revised CMS-1500 02/12 forms, the only current accepted CMS-1500 version, for private practice providers and anyone billing within the non-institutional medical industry contain the following features: 
  • 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

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