Jaxplaza

NEW CMS 1500 Claim Forms - 500 Sheets (02/12 Version) for Laser or Inkjet Printers

Free shipping with 3 or more products in your cart
Payflex: Pay in 4 interest-free payments of R423.00. Read the FAQ
R 1,692
In stock
Low stock in USA warehouse Order soon to secure your order
Duties, insurance and VAT included
Delivered in 10–20 working days —
Free shipping with 3 or more products in your cart
Secure checkout
Your payment is fully protected
Duties & VAT included
No surprise charges at the door
Tracked delivery
Track your order end to end
Returns support
30-day return window

Description

  • APPROVED OMB-0938-1197 (Version 02/12)
  • 1-Part Laser Form CMS-1500 printed in red ink
  • For Laser and Inkjet Printers
  • Size: 8-1/2" X 11"; Weight: 24# Paper
  • Pack of 500 Sheets

Item Number 1500NC This form accommodates the reporting of the National Provider Identifier (NPI). Printed in red ink on special bond paper in strict compliance with NUCC and CMS regulations and specifications. These claim forms (formerly HCFA-1500) are used to submit health insurance claims for services provided by health care professionals to Medicare and Medicaid, insurance companies or clearinghouses for processing. Printed in red ink on special bond paper in strict compliance with government regulations and specifications. Available in both laser and pin-fed continuous formats Size: 8 1/2 x 11 Red Ink Most recent update (02/12)

Shipping & Delivery

Your order is shipped from the USA and delivered to your door in South Africa in 10–20 working days. All items are fully tracked.

Returns & Exchanges

We offer a 30-day return window. If something isn't right, contact our support team and we'll make it right.