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.
· 2-part carbonless -- Top sheet color is white, second sheet color is yellow
· Uses soy-based black and OCR "dropout” red ink for greater scanning accuracy
· Printed on SFI (Sustainable Forestry Initiative) paper
· Continuous format designed for pinfeed printers
· Features Anti-Rejection Projection™* -- guaranteed acceptance by insurance carriers for rejection-proof claim filing and quicker payment
100 forms per order, 100 minimum quantity.
Ships in 24 hours; expedited shipping available.
Interested in a free sample? Click here.