Top Claim Form
CMS 1500 Claim Forms\New\ HCFA (Version 02/12) - Health Insurance, Laser Cut Sheet - 500 Sheets
- Required for healthcare providers to bill a patient's insurance company for reimbursement of medical claims. - 500 Sheets - Made in USA.
- CMS-1500 (version 02/12) replaces form (version 08/05) - 1-Part Laser Form CMS-1500 Printed in Red Ink.
- Each form must have accurate content and conform to the Health Insurance Portability and Accountability Act (HIPAA). - Developed in conjunction with all the governing agencies, including the National Uniform Claim Committee (NUCC), the National Uniform Billing Committee (NUBC), the CMS Centers for Medicare and Medicaid Services, the Health and Human Services Agency, and the American Hospital Association..
- New Version 02/12 (APPROVED OMB-0938-1197) - Size 8-1/2" x 11" for Laser and Inkjet Printers - Starting 04/04/14 Medicare will accept this Version 02/12 "ONLY".
- Forms must adhere to strict printing standards that govern the layout, paper and ink. - 20-lb paper with OCR "dropout" red ink for greater scanning accuracy..
Check StockUB-04 (CMS 1450) Health Insurance Claim Form (Pack of 500 sheets)
- UB-04 (CMS 1450) Health Insurance Claim Form.
Check StockAntinol for Cats
- Supports wellness for joint, skin and coat..
- A natural patented unique stabilization and production process..
- Highly concentrated, encapsulated oil-based form that preserves the active ingredients for optimal results..
- Highly bioavailable to maximize efficacy, which is a significant difference with other competitive products that claim similar outcomes..
Check StockComplyRight Accident/Illness Report Form | 8-1/2” x 11” | Pack of 25| OSHA Safety
- ...ight, our mission is to free employers from the burden of tracking and complying with the complex web of federal, state, and local employment laws. ComplyRight is the market leader in government-compliant products such as tax forms, tax software, HR products and services, labor law solutions, and health insurance claim forms..
Check StockHot Shot Men's Huntsman Mittens, Realtree Edge, Large
- Realtree Edge, New pattern for 2018: With a strong trend of patterns in a digital world that claim disruption of the human form is more important than blending into your hunting environment, only Realtree brings you a pattern that does both. Realistic elements that match your hunting surroundings arranged in a way that completely erases the human form.
- Lined with 80 grams of 3M Thinsulate Insulation. 3M Thinsulate Insulation: for warmth without bulk..
- Odor-XCHANGE anti-microbial lining. ODOR-X Anti-Microbial is the technology in which targets bacteria that causes odor while wicking away moisture, keeping you warm &.
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Check StockComplyRight Absence Report Form, Compact, 2 Part | 5-1/2\ x 8-1/2\ | Time & Attendance Form | 50 Pack
- ...yRight, our mission is to free employers from the burden of tracking and complying with the complex web of federal, state, and local employment laws. ComplyRight is the market leader in government-compliant products such as tax forms, tax software, HR products and services, labor law solutions, and health insurance claim forms..
Check StockAntinol - The Natural Super Potent Joint Supplement for Dogs (60 Softgels)
- Supports wellness for joint, skin and coat..
- A natural patented unique stabilization and production process..
- Highly concentrated, encapsulated oil-based form that preserves the active ingredients for optimal results..
- Highly bioavailable to maximize efficacy, which is a significant difference with other competitive products that claim similar outcomes..
Check StockAntinol 60 Softgels - The Natural Super Potent Joint Supplement for Dogs
- Supports wellness for joint, skin and coat..
- A natural patented unique stabilization and production process..
- Highly concentrated, encapsulated oil-based form that preserves the active ingredients for optimal results..
- Highly bioavailable to maximize efficacy, which is a significant difference with other competitive products that claim similar outcomes..
Check StockTOPS Health Insurance Claim Forms for Laser Printer, 8.5 x 11 inches, 500 Sheets per Pack (50126RV)
Check StockTOPS CMS-1500 Health Insurance Claim Forms, 1-Part, Continuous, 9.5 x 11 Inches, 3000 Sheets per Carton (50122RV)
Check StockAdams Health Insurance Claim Forms for Laser Printer, 8.5 x 11 Inches, 250 per Pack (CMS1500L2V)
Check StockAdams Health Insurance Claim Forms for Laser Printer, 8.5 x 11 Inches, 100 per Pack (CMS1500L1V)
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