ComplyRight CMS-1500 Health Insurance Claim Form, 250/Box (CMS12LC250)
Product Description
ComplyRight CMS-1500 Health Insurance Claim Form, 250/Box (CMS12LC250)
- Sold as 250/Pack
- This form was revised to align the paper form with some of the changes in the electronic healthcare claims: Professional (837), 005010X222 Technical Report Type 3 (5010) and 005010X222A1 Technical Report Type 3 (5010A1)
- Includes new QR code identifier at the top of the form that supports and aligns with Industry scanning systems
- The most significant change was the addition of 8 diagnosis codes in field 21
Technical Specifications
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