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Home›Products›ComplyRight CMS-1500 Health Insurance Claim Form, 250/Box
Comply Right

ComplyRight CMS-1500 Health Insurance Claim Form, 250/Box

ComplyRight CMS-1500 Health Insurance Claim Form, 250/Box - ComplyRight CMS-1500 Health Insurance Claim Form - Image 1
Image from The Dentists Supply Company (TDSC)ComplyRight CMS-1500 Health Insurance Claim Form

The CMS-1500 is the standard health insurance claim form approved by the National Uniform Claim Committee (NUCC) and is HIPAA compliant. This revised version aligns with electronic healthcare claims (837, 5010, and 5010A1) and includes 8 diagnosis codes in field 21, plus a QR code identifier for industry scanning systems.

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The Dentists Supply Company (TDSC) logo
The Dentists Supply Company (TDSC)
Best Price
$36.13
ComplyRight CMS-1500 Health Insurance Claim Form, 250/Box - ComplyRight CMS-1500 Health Insurance Claim Form - Image 1
Image from The Dentists Supply Company (TDSC)ComplyRight CMS-1500 Health Insurance Claim Form

Vendor Pricing Comparison

Sorted by lowest price · Add now, sign in at checkout

1 vendor
The Dentists Supply Company (TDSC) logo
The Dentists Supply Company (TDSC)
Best Price
$36.13

The CMS-1500 is the standard health insurance claim form approved by the National Uniform Claim Committee (NUCC) and is HIPAA compliant. This revised version aligns with electronic healthcare claims (837, 5010, and 5010A1) and includes 8 diagnosis codes in field 21, plus a QR code identifier for industry scanning systems.

$36.13

1 vendor

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