New CMS 1500 Claim Forms - HCFA (Version 02/12) (100 Sheets)
SUPERIOR QUALITY: Our CMS-1500 insurance claim forms are manufactured and printed in the USA by US government certified printers on bright white Thick 20 LB paper.
compatible with Laser and Inkjet printers. Printed in red ink..
All printed fields, boxes, and layout will perfectly align with the correct boxes for easy printing with billing software. No need to change settings when using these high-quality HCFA 1500 claim forms! Printed on red ink for greater scanning accuracy..
COMPLIANT WITH ALL GOVERNMENT STANDARDS: Each UB04 Claim Form has accurate content and adheres to strict government standards developed by HIPAA in conjunction with CMS Centers for Medicare and Medicaid Services, NUBC, NUCC, Health and Human Services Agency, and American Hospital Association..
SIMPLY YOUR COMPENSATION PROCESS with our 2012 approved CMS-1500 Health Insurance Claim Forms. 500 sheets, proudly made in the USA. Widely accepted by hospitals, nursing facilities, and other in-patient providers since 2014..
LATEST APPROVED VERSION FORMS: CMS/HCFA 1500 claim forms (02/2012 version) are the currently approved forms that replaced (version 08/05) CMS-1500 Forms.
required for health care providers to bill a patient's insurance company for reimbursement of medical claims..
Adjustable rustproof lacing system for a customized fit.
Compression-molded EVA midsole provides lightweight cushioning and shock absorption.
Covered by the Timberland Limited Warranty. For complete terms, limitations, and instructions on how to make a warranty claim, please visit the Timberland website..
Adjustable rustproof lacing system for a customized fit.
Compression-molded EVA midsole provides lightweight cushioning and shock absorption.
Covered by the Timberland Limited Warranty. For complete terms, limitations, and instructions on how to make a warranty claim, please visit the Timberland website..
Includes power surge coverage beginning day 1. Parts and labor coverage for mechanical and electrical failures begins AFTER your product’s manufacturer warranty expires, typically 1 year from purchase date as per the terms and conditions found on the protection plan product page..
Coverage and claim limits apply. See protection plan details below by clicking on the "Warranty"link..
If a covered repair cannot be completed, you will be reimbursed with an Amazon gift card for up to the amount of your original product purchase price..
Includes power surge coverage beginning day 1. Parts and labor coverage for mechanical and electrical failures begins AFTER your product’s manufacturer warranty expires, typically 1 year from purchase date as per the terms and conditions found on the protection plan product page..
Coverage and claim limits apply. See protection plan details below by clicking on the "Warranty"link..
If a covered repair cannot be completed, you will be reimbursed with an Amazon gift card for up to the amount of your original product purchase price..
Includes power surge coverage beginning day 1. Parts and labor coverage for mechanical and electrical failures begins AFTER your product’s manufacturer warranty expires, typically 1 year from purchase date as per the terms and conditions found on the protection plan product page..
Coverage and claim limits apply. See protection plan details below by clicking on the "Warranty"link..
If a covered repair cannot be completed, you will be reimbursed with an Amazon gift card for up to the amount of your original product purchase price..
Includes power surge coverage beginning day 1. Parts and labor coverage for mechanical and electrical failures begins AFTER your product’s manufacturer warranty expires, typically 1 year from purchase date as per the terms and conditions found on the protection plan product page..
Coverage and claim limits apply. See protection plan details below by clicking on the "Warranty"link..
If a covered repair cannot be completed, you will be reimbursed with an Amazon gift card for up to the amount of your original product purchase price..
