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  Home > NeedInsuranceForms > New Format CMS-1500 Health Insurance Claim Forms >

3-Part Continuous CMS-1500 Health Insurance Claim Forms
New CMS-1500
 
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The new CMS-1500 Form will be will be required starting April 1, 2014 per Federal regulations.  The new form contains a number of improvements and was revised to align the paper form with some of the changes in the electronic Health Care Claims.  The most significant changes were the addition of eight diagnosis codes in Item Number 21 and the addition of the QR Code at the top left of the form.
Case of 1000 forms $98.99


Availability:: Usually Ships in 1 to 2 Business Days
Product Code: CMS123


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