Join our mailing list!



 


(Your shopping cart is empty)

  Home > NeedInsuranceForms > CMS-1500 Health Insurance Claim Forms >

  2-Part Continuous CMS-1500 Health Insurance Claim Forms White/White
  New CMS-1500
 
Case of 1000 forms $39.95


Availability: Usually Ships in 1 to 2 Business Days
Product Code: CMSW2


Quantity*:
  

Description
 
The new CMS-1500 Claim form contains a number of improvements and enhancements. The new claim form will be able to accommodate the reporting of the National Provider Identifier (NPI) Number. The NPI will be a single provider identifier replacing the different provider identifiers healthcare systems currently use for each health plan with which you do business. The NPI Identifier, which implements a requirement of the Health Insurance Portability and Accountability Act of 1996 (HPIAA), mustbe used by all HIPAA covered entities, which are health plans, healthcare clearinghouses, and healthcare providers.
 
Compatible with:
  • The new CMS-1500 Form will be will be required starting April 2, 2007
  • 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

Accessories for this product...
Pre-Inked Stamp Ink Refill
Starting at $9.95
Add
8 Line Pre-Inked Stamp
Starting at $16.95
Add
4 Line Pre-Inked Stamp
Starting at $14.95
Add
CMS-1500 Number 10 1/2 Single Window Envelopes
Starting at $21.95
Add
#10 Gummed Envelope
5 Line Pre-Inked Stamp
Starting at $15.95
Add
CMS-1500 Number 10 1/2 Single Window Self Seal
Starting at $31.95
Add
#10 Self-Sealing Envelope
CMS-1500 Jumbo Right Window Envelopes
Starting at $8.00
Add
Jumbo CMS Envelope
Compact 3 Line Pre-Inked Stamp
Starting at $11.95
Add
CMS-1500 Jumbo Right Window Envelopes No Words
Starting at $8.00
Add
Jumbo CMS Envelope



 Share your knowledge of this product with other customers... Be the first to write a review.



Browse for more products in the same category as this item:

NeedInsuranceForms > CMS-1500 Health Insurance Claim Forms
NeedInsuranceForms


1-Part Continuous CMS-1500 Health Insurance Claim Forms $34.95
2-Part Continuous CMS-1500 Health Insurance Claim Forms White/Canary $39.95
2-Part Continuous UB-04 Hospital Insurance Claim Forms $39.95
3-Part Continuous UB-04 Hospital Insurance Claim Forms $67.95
1-Part Continuous UB-04 Hospital Insurance Claim Forms $34.95
Laser Cut Sheet UB-04 Hospital Insurance Claim Forms
4-Part Continuous UB-04 Hospital Insurance Claim Forms $40.95
Need Forms Network
NeedStore
PO Box 174
Hillsboro, OR 97123-0174

 About Us
 
 Privacy Policy
 Send Us Feedback
 
Company Info | Product Index | Category Index | Help | Terms of Use
Copyright © 2003-2010 Need Forms Network. All Rights Reserved.
Registered trademarks and copyrights are owned by their respective companies.
Website Design Assistance from Volusion.