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Specification
Brand : ComplyRight
BulletPoint1 : INSURANCE CLAIM FORM: The ComplyRight CMS 1500 Healthcare Billing Forms, version 02/12 are fully updated with the latest form revisions from the U.S. Centers for Medicare & Medicaid Services. Our forms also feature Anti-Rejection Protection, which is guaranteed acceptance by insurance carriers for rejection proof claim filing.
BulletPoint2 : HEALTHCARE BILLING: CMS-1500 forms are required for healthcare providers to bill a patient's insurance company for reimbursement of medical claims. For use by all medical facilities.
BulletPoint3 : CMS 1500: Designed to conform to HIPAA and developed in conjunction with leading government agencies, including NUCC, NUBC, CMS Centers for Medicare and Medicaid, American Hospital Association, and more. The CMS-1500 Laser Forms use soy-based black and OCR "dropout" red ink for greater scanning accuracy. Printed on Sustainable Forestry Initiative (SFI) paper with both 20lb. carbonless paper.
BulletPoint4 : PACKAGING/DIMENSIONS: Sold 1000 per pack, the form measurements are 9.5 x 11 with perforated edges. The 1-part continuous format is designed for use with most pin feed printers.
BulletPoint5 : COMPLYRIGHT: At ComplyRight, our mission is to free employers from the burden of tracking and complying with the complex web of federal, state, and local employment laws. ComplyRight is the market leader in government compliant products such as tax forms, tax software, HR products and services, labor law solutions, and health insurance claim forms.
Color : 27001
ExternallyAssignedProductIdentifier : 50015171275978
ExternallyAssignedProductIdentifier1 : 0630239550443
ExternallyAssignedProductIdentifier2 : 630239550443
FdaDeviceClassification : iv
FdaIndicationOfUse : otc
FdaInstructionsForUseType : na
FdaLabelType : consumer
ItemName : ComplyRight CMS 1500 Healthcare Billing Form | 9.5 x 11 | 1-Part Continuous | Medical Billing | Pack of 1,000
ItemPackageQuantity : 1
ItemTypeKeyword : business-claim-forms
Manufacturer : ComplyRight
Material : Paper
NumberOfItems : 10
PartNumber : 27001-DS
ProductDescription : Per Federal regulations, all healthcare providers must use the CMS-1500 form for specific types of billing. The CMS-1500 accommodates reporting of the National provider identifier, which must be used by all HIPAA-Covered entities. The form is printed with OCR "Dropout" Red ink on 20-lb paper, as per government regulations. Forms adhere to strict printing standards that govern the layout, paper, and ink with 20-lb paper and OCR dropout red ink for greater scanning accuracy. SFI certified to meet SFI standards.
ProductSiteLaunchDate : 2020-09-02T15:40:28.286Z
Size : 1-Part Continuous | 1000 Count
Style : Laboratory, Beige, Tab 1
UnitCount : 10
UnspscCode : 44000000