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CMS 1500 Claim Forms ''ICD-10'' HCFA (Version 02/12) - Health Insurance, Laser Cut Sheet - 1000 Sheets


On Sale Now! Save 6% on the CMS 1500 Claim Forms ''ICD-10'' HCFA (Version 02/12) - Health Insurance, Laser Cut Sheet - 1000 Sheets by twiHealthcare at NC Doctors Day. MPN: WCMS-1500 (02/12). Hurry! Limited time offer. Offer valid only while supplies last. Look on our Amazon Store (TWIhealthcare) for ICD-10 envelopes and other products. Approved by the National Uniform Claim Committee (NUCC); HIPAA


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CMS 1500 Claim Forms ''ICD-10'' HCFA (Version 02/12) - Health Insurance, Laser Cut Sheet - 1000 Sheets by twiHealthcare (Image #1)
CMS 1500 Claim Forms ''ICD-10'' HCFA (Version 02/12) - Health Insurance, Laser Cut Sheet - 1000 Sheets by twiHealthcare (Image #2)
Brand: twiHealthcare
4.5 out of 5 stars with 123 reviews
Condition: New
Availability: In Stock
$26.29
$24.95
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Product Description & Reviews

Look on our Amazon Store (TWIhealthcare) for ICD-10 envelopes and other products. Approved by the National Uniform Claim Committee (NUCC); HIPAA compliant. This form was revised to align the paper form with some of the changes in the electronic health care claims: Professional (837), 005010X222 Technical Report Type 3 (5010) and 005010X222A1 Technical Report Type 3 (5010A1). The most significant change was the addition of 8 diagnosis codes in field 21. Includes new QR code identifier at the top of the form that supports and aligns with Industry scanning systems. Printed with OCR "dropout" red ink on 20lb. paper (per government regulations). Form not available personalized. Certified Chain of Custody; promotes sustainable forest management. Size: 8-1/2x11".

Features & Highlights

  • BUY MULTIPLE ITEMS AND SAVE ON SHIPPING!----ORDER BEFORE 2:00 PM est (M-F) SHIPS SAME DAY!
  • 100% guaranteed compliance. For physicians, the CMS 1500 meets The Centers for Medicare and Medicaid Services guidelines.
  • CMS 1500 (02/12) claim forms are available for use with the ICD-10 codes.
  • Look on our Amazon Store (TWIhealthcare) for ICD-10 envelopes and other products.

Additional Information

Brand:
twiHealthcare
Manufacturer:
twihealthcare
Category:
Recordkeeping & Labels
Color:
OCR Red
Model:
WCMS-1500 (02/12)
MPN:
WCMS-1500 (02/12)
Part Number:
WCMS-1500 (02/12)
Publisher:
twihealthcare
Binding:
Office Product

 


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