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Snapset form for use by all medical facilities for billing insurance companies, Medicaid and Medicare; aligned with the electronic HIPAA ASC X12N 837 Non-institutional Transaction Standard

8-1/2" W x 11" L

2-part, white/canary, carbonless

Includes QR code identifier at the top of the form that supports and aligns with Industry scanning systems

Printed with OCR "dropout" red ink on 20lb. paper (per government regulations)

Includes new QR code identifier at the top of the form that supports and aligns with Industry scanning systems

Includes QR code identifier at the top of the form that supports and aligns with Industry scanning systems

Printed with OCR "dropout" red ink on 20lb. paper (per government regulations)

Includes new QR code identifier at the top of the form that supports and aligns with Industry scanning systems

Includes QR code identifier at the top of the form that supports and aligns with Industry scanning systems

Printed with OCR "dropout" red ink on 20lb. paper (per government regulations)

Includes new QR code identifier at the top of the form that supports and aligns with Industry scanning systems

For use by all medical facilities for billing insurance companies, Medicaid and Medicare; aligned with the electronic HIPAA ASC X12N 837 Non-institutional Transaction Standard

8-1/2" W x 11" L

1-part, white, carbonless; carbon paper is required for duplicates

CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medicaid or private insurance benefits

Top sensor bar for microfiche duplication, as required in some states

OCR red ink for scanning

Approved by the National Uniform Claim Committee (NUCC); HIPAA compliant

This form was revised to align the paper form with some of the changes in the electronic healthcare claims: Professional (837), 005010X222 Technical Report Type 3 (5010) and 005010X222A1 Technical Report Type 3 (5010A1)

The most significant change was the addition of 8 diagnosis codes in field 21

Designed for filing Medicare part B claims as well as claims to commercial insurance companies

Includes the newest NUCC revisions

Printed in red, scannable, OCR ink

Satisfy record keeping requirements with these health insurance claim forms

Number of parts: 1

Contains 500 forms per package

6 security features comply with CMS 10/1/08 Tamper Resistant Requirements for Medicaid

Copy-proof Rx blanks feature a blue pattern background; "void" pantograph appears when copied

Micro-print signature line helps prevent counterfeiting and states security when viewed through a magnifying glass; security band lists security features

6 security features comply with CMS 10/1/08 Tamper Resistant Requirements for Medicaid

Copy-proof Rx blanks feature a blue pattern background; "void" pantograph appears when copied

Micro-print signature line helps prevent counterfeiting and states security when viewed through a magnifying glass; security band lists security features

8 1/2" x 11"

20 lb.

White

Envelope holds up to 50 CMS-1500 unfolded claim forms.

Helps reduce processing delays.

Right-window reveals only the mailing address.

Use for business forms

Gummed seal

24 lb.

Specially designed window envelopes fit CMS 1500 claim forms when tri-folded

All envelopes have confidential lining for added security

Compatible with laser printers

Approved by the National Uniform Claim Committee (NUCC); HIPAA compliant

This form was revised to align the paper form with some of the changes in the electronic health care claims: Professional (837), 005010X222 Technical Report Type 3 (5010) and 005010X222A1 Technical Report Type 3 (5010A1)

The most significant change was the addition of 8 diagnosis codes in field 21

Printed with OCR "dropout" red ink on 20# paper, as per government regulations

1,000 per case

Form is "8.5x11"

8 1/2" x 11"

20 lb.

White

Envelope holds up to 50 CMS-1500 unfolded claim forms.

Helps reduce processing delays.

Right-window reveals only the mailing address.

This CMS-1500 jumbo health care billing envelope helps reduce processing delays

500 envelopes per box

Form size: 9" x 12.5"

Designed for hospitals to file a medical claim with the patient's insurance carrier

One-part health insurance forms

Contains 2500 forms per carton

Self seal CMS-1500 right window envelope

HIPAA security tent, 24 lb. bond paper

Accommodates 12 folded CMS-1500 claim forms

CDT PLUS! 2023 represents the ultimate coding reference for your dental practice. It includes everything you need to process dental insurance claims. CDT 2023 codes are mandatory for reporting dental procedures and services provided from January 1, 2
023 - December 31, 2023. Dental professionals must use HIPAA mandated CDT codes to report procedures and services on dental claims. There are significant changes in the CDT coding system for 2023; including new codes, revised codes and deleted codes.

CDT PLUS! 2023 includes: All official CDT 2023 codes and descriptions along with coding notes and coverage information. Comprehensive introduction to CDT coding including extensive gl ...

W-2c tax form is used to correct errors on forms W-2, W-2AS, W-2CM, W-2GU, W-2VI, or W-2c filed with the SSA

Single-part: Federal Copy A

For laser printers