9-1/2 x11" CMS HCFA 1500 1 Part Continuous

9-1/2 x11" CMS 1500 1 Part Continues

• Required for any health-care provider in order to bill a insurance co. for reimbursement of a medical claim.

• CMS-1500 (version 02/12) replaced the old version 08/05

• The 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.

• Pin Feed format 20-lb paper with OCR "dropout" red ink for greater scanning accuracy.

• SFI Certified — Certified to meet SFI standards.