Speed third-party billing and manage your cash flow with this AMA and CMS approved claim form.
Includes all updates in the 02/12 version approved by the NUCC (National Uniform Claim Committee)
- Convenient and easy to use 2-part carbonless forms on 20lb/15lb self-duplicating stock, printed in OCR red ink.
- Accommodates NPI numbers as mandated by HIPAA.
- Accepted by most health insurance companies.
- Quantity: Comes in packs of 250.