CMS-1500 Claim Forms

by PMIC

  • Item#: 9233-79121
  • Format: Laser Sheets or Computer
  • ISBN#: N/A
  • AAPC CEU Credit(s): N/A
  • Availability: In Stock
  • Product Notes:
  • Ships standard ground only. Usually ships in 48 hours.
  • Your Price: $34.95 +
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CMS-1500 is the NEW Name for HCFA-1500 Claim Forms

Get help choosing the right forms for your printer! Click Here for the Guide

CMS-1500 Claim Forms
* You can increase the quantity of packages before check-out.
Buy Now $34.95 89010 CMS-1500 1-Part Continuous Feed Computer (1,000 box)
Buy Now $79.95 89030 CMS-1500 1-Part Continuous Feed Computer - Mailing Label (1,000 box)
Buy Now $44.95 89005 CMS-1500 Laser Sheets (1,000 box)
Buy Now $69.95 89015 CMS-1500 2-Part Continuous Feed Computer (1,000 box)
Buy Now $104.95 89035 CMS-1500 2-Part Continuous Feed Computer - Mailing Label (1,000 box)
Buy Now $54.95 89025 CMS-1500 2-Part Snap Out (500 box)
Buy Now $79.95 89020 CMS-1500 3-Part Continuous Feed Computer (1,000 box)
Claim Form Mailing Envelopes
Buy Now $39.95 79130 Standard Claims Envelopes- Gummed (500/Pkg)
Buy Now $49.95 79133 Standard Claims Envelopes- Self Sealing (500/Pkg)
Buy Now $27.95 79135 Jumbo CMS-1500 Claim Envelopes- R Window (100/Pkg)
Buy Now $27.95 79136 Jumbo CMS-1500 Claim Envelopes- L Window (100/Pkg)
Buy Now $89.95 79137 Jumbo CMS-1500 Claim Envelopes- L Window (500/Pkg)
Buy Now $89.95 79138 Jumbo CMS-1500 Claim Envelopes- R Window (500/Pkg)
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  • Overview
  • Product Reviews

These are revised CMS-1500 (08-05) forms, and are mandatory for all claims filed on or after June 1, 2007.

The bar code has been dropped from all versions of the form.

CMS is implementing the new CMS1500 (08-05) claim form on Janary 1, 2007, but the form will not be mandatory until June 1, 2007. The major difference between the new CMS1500 (08-05) form and the prior CMS1500 (12-90) form is the split provider identifier fields.

The split fields will enable NPI reporting in the fields labeled as NPI, and corresponding legacy number reporting in the unlabeled block above each NPI field. In addition, the bar code has been dropped from all versions of the form.

Submitting health insurance claim forms makes your patients happy, meets Medicare requirements, and puts you in control of your reimbursement. Formerly known as HCFA-1500, CMS-1500 claim forms are used to bill services provided by health care professionals at any location.

What is the difference in the available formats? "Computer" forms have tear off sides and produce a duplicate copy. "Laser Sheets" are used with a desk jet or ink jet printer.

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