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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 		   
 
CMS1
2500 (case) CMS-1500 1-Part Continuous Health Insurance Claim Forms
 
Our Price: $34.95 		   
 
CMS2
1000 (case) CMS-1500 2-Part Continuous Health Insurance Claim Forms White/Canary
 
Our Price: $39.95 		   
 
CMSW2
1000 (case) CMS-1500 2-Part Continuous Health Insurance Claim Forms White/White
 
Our Price: $39.95 		   
 
CMS3
1000 (case) CMS-1500 3-Part Continuous Health Insurance Claim Forms
 
Our Price: $67.95 		   
 
CMS1B
1000 (case) CMS-1500 1-Part Continuous Health Insurance Claim Forms with Blown* on Label
 
Our Price: $55.95 		   
 
CMS2B
1000 (case) CMS-1500 2-Part Continuous Health Insurance Claim Forms with Blown* on Label
 
Our Price: $85.95 		   
 
CMSS
500 (case) CMS-1500 2-Part Snap-a-part Health Insurance Claim Forms
 
Our Price: $30.95 		   
*Blown Label is a peel off label located (upper right) on the insurance form where the name and address of the insurance company is printed.  After the claim is printed you can peel off the label and affix it to the mailing envelope.  The technology of the Blown Label will leave the name and address of the insurance company on the form when the label is removed. 
 
 
 

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