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CMS Health Insurance Forms (CMS-1500), 2-Part w/ NPI, White/Yellow

CMS Health Insurance Forms (CMS-1500), 2-Part w/ NPI, White/Yellow

CMS Health Insurance Forms (CMS-1500), 2-Part w/ NPI, White/Yellow - available at Staples.com via our site. Use our links and Staples coupon codes for Staples promotions. Visit our Envelopes & Forms catalog page for more good deals.

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Product Features

  • The new CMS-1500 Form will be required starting April 2, 2007.

Providers should checkwith their payer and/or clearinghouse to determine when they will begin to accept the revised forms.

  • 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
  • Two-part, white/yellow
  • Compatible with continuous form Dot-Matrix printers

Manufacurer/Model: TFP 

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