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HCFA FORMS

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Item Details
HCFA Forms 2 Part Continuous REVISED
Item Name:
HCFA Forms 2 Part Continuous REVISED
Item #:
WCMS-1500-2-12
Price/ea:
$50.35

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HCFA FORMS: Two-Part Continuous (WCMS-1500-2-12) Case of 1000

This is the REVISED form (see changes)

  • Health Insurance Claim Forms are United States government approved to serve federal programs and private insurers as a universal claim form
  • Accommodates reporting of National Provider Identifier (NPI) numbers
  • Approved by the National Uniform Claim Committee and CMS; aligned with electronic HIPAA ASC X12N 837 Non-Institutional Transaction Standard
  • Forms are two-part carbonless, self-duplicating
  • Forms are for use with computer pin-feed printers
  • Size: 8 1/2" x 11"
Quantity:
 
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