ComplyRight CMS-1500 Health Insurance Claim Form (02/12), 3-Part Continuous, White/Canary/Pink, 1000/Pack (CMS1239)
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ComplyRight CMS-1500 Healthcare Billing Form; (02/12); 3-Part Continuous; White/Canary/Pink, adheres to strict printing standards that govern the layout, paper and ink. Our CMS-1500 forms have accurate content and conform to the Health Insurance Portability and Accountability Act (HIPAA). We developed our forms in conjunction with all the governing agencies, including the National Uniform Claim Committee (NUCC), the National Uniform Billing Committee (NUBC), the CMS Centers for Medicare and Medicaid Services, the Health and Human Services Agency, and the American Hospital Association. 20-lb paper with OCR "dropout" red ink for greater scanning accuracy. Accommodates reporting of the National Provider Identifier, which must be used by all HIPAA-covered entities. Pack of 1000. Corresponding envelopes sold separately. SFI Certified — Certified to meet SFI standards. Satisfy medical billing requirements with fully compliant CMS-1500 Health Insurance Claim Forms



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