HCFA 1500 - CMS1500 Claim Form for Laser Printers (2,500 Forms/Case)

Item #:
WCMS-1500CS12
Rating:
90% of 100
$40.09 /Case
In stock:
More Info... 1-4 Day Delivery (ground)
Medical Forms

Free Shipping (All orders of $50 or more)

  • Free Shipping On select items
  • Fast Shipping Multiple distribution centers
  • Low Price Guarantee We won't be beat on price
  • Live Customer Service Call us today

Questions?

1.877.469.7655

Live Chat

Email a Friend

Blank CMS 1500 Claim Form 1-Part Laser CMS 1500 Forms are sometimes called HCFA 1500 Forms

  • Item #: WCMS-1500CS12
  • New form has place for NPI number.
  • Works in inkjet printers or can be handwritten 1 part OCR scanable paper.
  • Black and red ink.
  • 100% compatible with UCCI requirements.
  • Case Qty: 2,500 Forms.
  • Weight/case: 27 lbs.
  • APPROVED OMB 0938-0999 FORM CMS-1500.
  • These are the NEW CMS 1500 forms (HCFA 1500 form) mandated by the U.S. Centers for Medicare and Medicaid Services (CMS) to be in use by July 1, 2012, adding the split provider identifier fields for NPI numbers.

  • Write Your Own Review
    You're reviewing:HCFA 1500 - CMS1500 Claim Form for Laser Printers (2,500 Forms/Case)
    Your Rating