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New CMS 1500 Claim Forms - 25 Sheets (02/12 Version) for Laser or Inkjet Printers

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$13.88

$ 6 .99 $6.99

In Stock

About this item

  • Approved CMS-1500 form (02/12) to replace the previous CMS form (08/05)
  • Fully updated with the latest revisions, the new CMS-1500 form is 100% compliant and printed to exact specifications for layout, paper and ink.
  • Carbonless bond paper for jam-free performance and are printed in OCR-scannable red ink
  • All forms are government approved CMS-1500 to serve federal programs and private insurers as a universal claim form.
  • Approved OMB-0938-1197 (02/12). Payers will begin to accept these forms starting January 6th, 2014. And will only accept this version as of April 1st, 2014


Stock up now. Prices are expected to rise. 1 Part Laser (25 Single Sheets - for Laser/Inkjet Printers). 02/12 Version.......... Both CMS and the NUCC have issued their transition timelines, affecting providers that accept government and private insurance. The final transition timeline for implementation of the revised CMS-1500 claim form is as follows:........ ............... January 6, 2014: Private insurance carriers and Medicare begin receiving and processing paper claims on the revised CMS-1500 claim form (02/12). ..................... January 6 - March 31, 2014: Dual-use period during which private insurance carriers and Medicare continue to receive and process paper claims submitted on either version of the form....................................................... April 1, 2014: The current claim form (08/05) is discontinued; all private insurance carriers and Medicare receives and processes paper claims submitted only on the revised CMS-1500 claim form (02/12).


Lisa Lee
September 5, 2025
The order arrived super fast. It was nice to be able to order just a few, since we do everything electronically and rarely need one of these forms. It didn't cost an arm and a leg.
Rhonda Johnson
July 9, 2025
I was expecting more for the price of the product.
California Girl
July 9, 2025
Forms are high quality, good red color, and align well with my billing software. I'm placing another order.
ralanc
June 18, 2025
Liked because:1- Small quantity available, all I needed2- Very reasonable price3- Quick delivery4- Have tested forms in laser printer, worked ok
Conscious Consumer
March 23, 2025
Exactly what I needed! Prompt delivery too!
Customer
March 6, 2025
Filing made easy!!
kz
January 9, 2025
Prompt, perfect
Linda Jensen
December 4, 2024
should have purchased more