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
NEW CMS 1500 Claim Forms - 500 Sheets (02/12 Version) for Laser or Inkjet Printers
NEW CMS 1500 Claim Forms - HCFA (Version 02/12) (250 Sheets)
New CMS-1500 02/12 Claim Form (25 forms)
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