The Centers for Medicare & Medicaid Services (CMS) approved a new CMS-1500 form (02/12) to replace the previous 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.
· Form contains pressure sensitive blown on label in upper right corner
· 2-part carbonless -- Top sheet color is white, second sheet color is
· Uses soy-based black
and OCR "dropout” red ink for greater scanning
· Printed on SFI
(Sustainable Forestry Initiative) paper
· Continuous format
designed for pinfeed printers
Anti-Rejection Projection™* -- guaranteed acceptance by
insurance carriers for rejection-proof
claim filing and quicker payment
1,000 forms per carton, 1 carton minimum.
Ships in 24 hours; expedited shipping available.
Interested in a free sample? Click here.