Description: Look on our Amazon Store (TWIhealthcare) for ICD-10 envelopes and other products. 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. Includes new 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). Form not available personalized. Certified Chain of Custody; promotes sustainable forest management. Size: 8-1/2x11".BUY MULTIPLE ITEMS AND SAVE ON SHIPPING!----ORDER BEFORE 2:00 PM est (M-F) SHIPS SAME DAY!100% guaranteed compliance. For physicians, the CMS 1500 meets The Centers for Medicare and Medicaid Services guidelines.CMS 1500 (02/12) claim forms are available for use with the ICD-10 codes.Look on our Amazon Store (TWIhealthcare) for ICD-10 envelopes and other products.
Price: 37.86 USD
Location: Brooklyn, New York
End Time: 2024-03-02T16:11:57.000Z
Shipping Cost: 0 USD
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Return shipping will be paid by: Seller
All returns accepted: Returns Accepted
Item must be returned within: 30 Days
Refund will be given as: Money Back
Brand: Twihealthcare
MPN: 1500
