Includes all updates to the 02/12 version approved by the NUCC (National Uniform Claim Committee)Speed third-party billing and manage your cash flow with this AMA and CMS approved claim form for your continuous printer.
- Continuous printer form speeds processing.
- Accepted by most health insurance companies.
- Accommodates NPI numbers as mandated by HIPAA.
- Convenient and easy to use! 1-part form on 20# white bond stock, printed in OCR red ink.