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New CMS-1500 (HCFA) Form 02/12 Bundle - 2500 Forms & 1000 Envelopes

New CMS-1500 (HCFA) Form 02/12 Bundle - 2500 Forms & 1000 Envelopes
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Name: New CMS-1500 (HCFA) Form 02/12 Bundle - 2500 Forms & 1000 Envelopes
Your Price:
$139.84
Serial Number: L0288


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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. Purchase the forms and corresponding envelopes together … and save 25%!

 

Forms:

·         Use soy-based black and OCR "dropout” red ink for greater scanning accuracy

·         Printed on SFI (Sustainable Forestry Initiative) paper

·         Feature Anti-Rejection Projection™* -- guaranteed acceptance by insurance carriers for rejection-proof claim filing and quicker payment

Envelopes:

·         9” x 12 ½” self-seal catalog envelope

·         Right window format

·         Accommodates up to 50 unfolded CMS-1500 forms

 

Bundle includes 2,500 CMS-1500 forms, PLUS 10 boxes of 100 CMS catalog envelopes.

 

Interested in a free sample? Click here.

 

Save 25% When You Bundle!

 

Item

Retail Price

Bundled Price

Your Savings

2500 CMS-1500 Forms

$37.95

$28.46

$9.48

1000 CMS-1500 Catalog Envelopes

$148.50

$111.38

$37.12

TOTAL

$186.45

$139.84

$46.60

 

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*If a CMS-1500 form is rejected by an insurance carrier due to improper formatting or print quality, we will provide a full replacement order of the purchaser’s forms. To qualify, you must notify us no later than 20 days after the rejection letter is issued. Upon review of the rejection letter and confirmation that the rejected forms were manufactured by us, we will send a full replacement order of the affected items. This Anti-Rejection Protection™ limited warranty applies to rejections based on the form itself being invalid due to ink quality or formatting, such as data elements being improperly positioned or misaligned. This protection does not apply to missing or incorrect entries provided by the user.

 


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