NEW CMS 1500 Claim Forms (08/05) 2-Part Forms For Hand Written Claims - Cartons of 500

NEW CMS 1500 forms for hand written claims.
Sometimes referred to as the new HCFA 1500 form. Ths CMS and HCFA forms are the same form with different names.

New form has place for NPI number.
APPROVED OMB 0938-0999 FORM CMS-1500 (08/05).
Want samples mailed to you? Click Here.
2 part carbonless (NCR) paper. Provides users with duplicate copy.
Top sheet color: white
Bottom sheet color: yellow
OCR scanable paper.
Black and red ink.
100% compatible with UCCI requirements.
This is the NEW CMS 1500 (08/05) form mandated by the U.S. Centers for Medicare and Medicaid Services (CMS) to be in use by April 2, 2007, extended tentatively to July 1, adding the split provider identifier fields for NPI numbers.
Minimum order is 500 CMS 1500 forms.
24 hour turnaround.
Shipping charges can be calculated by placing a carton in the cart and then entering your zip code in the shipping calculator on that page. US. Expedited shipping available.

Need less than a carton of 500? Click Here for packages of 100, or Click Here for packages of 10.

500 per carton.
1 carton minimum order.