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CMS 1500 Health Insurance Claim Forms (08-05)
The CMS-1500 Claim form contains a number of improvements and enhancements. The new 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 (HPIAA), mustbe used by all HIPAA covered entities, which are health plans, healthcare clearinghouses, and healthcare providers.
  • Per Federal regulations, all Health Care Providers must use the CMS forms
  • File a hard copy of each claim with patient records in case you need to resubmit a claim
  • Available as cut sheets for laser printers or in 1, 2 or 3 parts for dot-matrix printers
 
CMSLC1
100 (package) CMS-1500 Laser Cut Sheet Health Insurance Claim Forms
 

Our Price: $4.95
   
 
CMSLC5
500 (package) CMS-1500 Laser Cut Sheet Health Insurance Claim Forms
 

Our Price: $14.95
   
 
CMSLC
2500 (case) CMS-1500 Laser Cut Sheet Health Insurance Claim Forms
 

Our Price: $49.95