Login       My Wishlist
  My Cart
$0.00 / 0 items
Dedicated to Preventing and Curing Heart Disease
International Access
Global Shipping Options Available
  Our Catalog   Recordkeeping & Labels   Medical & Insurance Forms

AMZfiling Health Insurance Claim Form- CMS 1500 (1000/Carton)

AMZfiling Health Insurance Claim Form- CMS 1500 (1000/Carton) by AMZfiling at Dencats. MPN: 79109QR. Hurry! Limited time offer. Offer valid only while supplies last. This medical billing form is used to serve federal programs and private insurers as a universal claim form. 02/12

Product Description

This medical billing form is used to serve federal programs and private insurers as a universal claim form. 02/12 version.

Features & Highlights

  • Record confidential information
  • Government approved
  • Compatible with laser printers
  • Printed in red ink
  • Carbonless paper transfers information to the back sheet

Additional Information

Manufacturer:IFS Filing Systems LLC
Color:Red Text
Part Number:79109QR
Publisher:IFS Filing Systems LLC
Studio:IFS Filing Systems LLC

AMZfiling Health Insurance Claim Form- CMS 1500 (1000/Carton) by AMZfiling

Buy Now:
AMZfiling Health Insurance Claim Form- CMS 1500 (1000/Carton)

Brand: AMZfiling
Condition: New
Lead Time: 1 - 2 Business Days
Availability: In Stock




Have questions about this item, or would like to inquire about a custom or bulk order?

If you have any questions about this product by AMZfiling, contact us by completing and submitting the form below. If you are looking for a specif part number, please include it with your message.

First Name:
Last Last:
Email Address:
Your Message:

Related Best Sellers

By twiHealthcare
mpn: NPP-7400, ean: 0747180357158,
Inform your patients how important their privacy is to your practice, while helping you meet your HIPAA compliance responsibilities. Convenient Full Color Trifold Brochure. Notice of Privacy Practices HIPAA Trifold Brochure Z-fold/Tri-Fold brochure N...

By EGPChecks
mpn: 21019,
Dental Exam Records - Record every detail of adult and primary dentition. Front features 1-32 numbering and a-t lettering, and an area to summarize patient history. Back has space to list services needed or rendered and fees. Pricing is for one packa...

By Salemax
mpn: CMS1450-1000,
Carbonless bond paper for jam-free performance and are printed in OCR-scannable red ink. All forms are government approved CMS-1450 (UB04) to serve federal programs and private insurers as a universal claim form.1 Part Laser (1000 Single Sheets - for...

By Linco
mpn: HCFACS4000, ean: 0605608567797,
NEW CMS-1500 INSURANCE CLAIM FORMS, HCFA (Version 02/12) - 8 REAMS (4000 SHEETS/FORMS)1-Part Laser Form CMS-1500 printed in red ink - Quantity: 4000 Forms. New Version 02/12 (APPROVED OMB-0938-1197). Medicare Accepts Only This Version 02/12 Beginning...

By Adams Business Forms
Adams Business Forms : Check Payment/Deposit Register, 96 Pages, 8-1/2"x11", White This register book offers an easy way to track and summarize expenses, payments and deposits. Includes bank reconciliation worksheet. Protective vinyl cover ensures r...

By twiHealthcare
mpn: WHCF10ENV, ean: 0747180357035,
Small gummed-seal inside tint Medical Claim Form envelope with inside tint. Size is 9-1/2" x 4-1/8". Window size is 4 1/2" x 1-1/8". Window location is 4" from left and 1-5/8" from bottom.BUY MULTIPLE ITEMS AND SAVE ON SHIPPING!----ORDER BEFORE 2:00 ...

By Jaxplaza
mpn: CMS1500-2500-02-12-PF,
1 Part NEW CMS 1500 Forms (02/12) for Pinfeed Printers. White Pinfeed OCR scanable paper. Black and red ink. 100% compatible with UCCI requirements. This is the NEW CMS 1500 form mandated by the U.S. Centers for Medicare and Medicaid Services (CMS)1 ...

mpn: CMS12S-50sheet, ean: 0609015489338,
For Handwritten Use Only - CMS 1500 / HCFA 1500 Medical Billing Forms. 50 Sheets, 2-part Carbonless (NCR) Printed in OCR-scannable red ink. 02/12 Version. Meets All Government Standards.FOR HANDWRITTEN USE ONLY - CMS 1500 / HCFA 1500 Medical Billing ...

By Tops
mpn: TOP50135RV, ean: 0025932501357,
Expedite Medicare, Medicaid or private insurance benefits. NUCC, CMS and AMA approved format. (02/12) version. Printed front and back in red OCR ink for scanning. Form Size: 8 1/2 x 11; Forms Per Page: 1; Form Quantity: 250; Principal Heading(s): 150...

By Highland
mpn: APPROVED OMB-0938-1197 FORM 1500 (02/12), ean: 0617689750579,
This is the new approved form that Medicare accepts. Save more with this bundle of 2000 form sheets.NEW CMS 1500 Health Insurance Claim Forms (Approved 02/12) - 2000 SHEETS. 1-Part Laser Form CMS-1500 Printed in Red Ink. New Version 02/12 (APPROVED O...

Privacy Policy / Terms of Service
© 2018 - dencats.org. All Rights Reserved.