{"product_id":"9-1-2-x11-cms-hcfa-1500-2-part-continuous-form-white-canary","title":"9-1\/2 x11\" CMS HCFA 1500 2 Part Continuous Form - White \u0026 Canary","description":"\u003ch5\u003e9-1\/2 x 11\" CMS-1500 HCFA 2-Part Continuous Form – White\/Canary\u003c\/h5\u003e\n\u003cul\u003e\n\u003cli\u003e\n\u003cstrong\u003eForm Size:\u003c\/strong\u003e 9-1\/2 x 11\"\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eParts:\u003c\/strong\u003e 2 Part\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eColor:\u003c\/strong\u003e White \u0026amp; Canary\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eType:\u003c\/strong\u003e Continuous\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003ePerforation:\u003c\/strong\u003e 1\/2\" from Left \u0026amp; Right\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eQty Per Pack:\u003c\/strong\u003e 1000 Sets\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003eKeep your medical billing running smoothly with our CMS-1500 (HCFA) 2-Part Continuous Forms, the standard professional paper claim form trusted by healthcare providers, physicians, and medical billing specialists nationwide.\u003c\/p\u003e\n\u003cp\u003eDesigned to meet official CMS-1500 formatting standards, these forms are accepted by Medicare, Medicaid, and most private insurance carriers, making them an essential supply for any medical office, billing department, or healthcare facility.\u003c\/p\u003e\n\u003ch6\u003eFeatures \u0026amp; Benefits:\u003c\/h6\u003e\n\u003cp\u003e\u003cstrong\u003e\u003cspan\u003e✓\u003c\/span\u003e\u003c\/strong\u003e\u003cspan\u003e \u003cstrong\u003eLatest 2012 Approved CMS-1500 Format\u003c\/strong\u003e — Meets current HCFA\/CMS-1500 claim form requirements (OMB-0938-1197)\u003c\/span\u003e\u003cbr\u003e\u003cspan\u003e\u003cstrong\u003e✓\u003c\/strong\u003e\u003c\/span\u003e\u003cspan\u003e \u003cstrong\u003eRequired for Insurance Reimbursement\u003c\/strong\u003e — The official form healthcare providers need to bill patients' insurance companies\u003c\/span\u003e\u003cbr\u003e\u003cspan\u003e\u003cstrong\u003e✓\u003c\/strong\u003e\u003c\/span\u003e\u003cspan\u003e \u003cstrong\u003e2-Part Carbonless\u003c\/strong\u003e — White original + Canary copy for easy record-keeping and filing\u003c\/span\u003e\u003cbr\u003e\u003cspan\u003e\u003cstrong\u003e✓\u003c\/strong\u003e\u003c\/span\u003e\u003cspan\u003e \u003cstrong\u003eContinuous Feed\u003c\/strong\u003e — Optimized for dot matrix and continuous-feed printers for high-volume billing environments\u003c\/span\u003e\u003cbr\u003e\u003cstrong\u003e\u003cspan\u003e✓\u003c\/span\u003e\u003c\/strong\u003e\u003cspan\u003e \u003cstrong\u003ePerforated Edges\u003c\/strong\u003e — Clean 1\/2\" left \u0026amp; right perforations for neat, professional separation\u003c\/span\u003e\u003cbr\u003e\u003cspan\u003e\u003cstrong\u003e✓\u003c\/strong\u003e\u003c\/span\u003e\u003cspan\u003e \u003cstrong\u003eHigh-Volume Ready\u003c\/strong\u003e — 1,000 sets per carton, ideal for busy medical practices and billing offices\u003c\/span\u003e\u003cbr\u003e\u003cspan\u003e\u003cstrong\u003e✓\u003c\/strong\u003e\u003c\/span\u003e\u003cspan\u003e \u003cstrong\u003eMade in the USA\u003c\/strong\u003e – Manufactured domestically for consistent, high-quality results you can trust\u003c\/span\u003e\u003cbr\u003e\u003cspan\u003e\u003cstrong\u003e\u003c\/strong\u003e\u003c\/span\u003e\u003c\/p\u003e\n\u003ch6\u003eWho Needs This Form?\u003c\/h6\u003e\n\u003cp\u003eRequired by physicians, chiropractors, therapists, and all healthcare billing professionals who submit paper claims to Medicare, Medicaid, or private insurers. If your practice processes insurance reimbursements, this is the form you need — in the version that's officially approved and accepted.\u003c\/p\u003e","brand":"NextDayLabels","offers":[{"title":"Default Title","offer_id":58207764709701,"sku":"G23","price":136.4,"currency_code":"USD","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0993\/0217\/9141\/files\/sku_g23_onepart.jpg?v=1780929020","url":"https:\/\/qualityforms.com\/products\/9-1-2-x11-cms-hcfa-1500-2-part-continuous-form-white-canary","provider":"Quality Forms","version":"1.0","type":"link"}