ComplyRight CMS-1500 Health Insurance Claim Form CMS12LC1

bFeatures /b ul liApproved by the National Uniform Claim Committee (NUCC); liHIPAA compliant; liThe most significant change was the addition of 8 diagnosis codes in field 21; liIncludes new QR code identifier at the top of the form that supports and aligns with Industry scanning systems; liPrinted with OCR “dropout” red ink on 20lb paper (per government regulations); liCertified Chain of Custody; promotes sustainable forest management; li1000 per Case; /ul bSpecifications /b ul li bSize: /b 8-1/2 x 11″; /ul.

Order Processing: After your payment is authorized and verified, we will start processing your order and this process can take from 1 to 2 business days, so please be patient with us. If we are unable to process your order due to inaccurate or incomplete payment or incorrect address information, your order processing may be delayed.

Carrier: UPS/FedEx/USPS. Delivery Timescale: More than 90% of orders arrive in 10 business days after despatch.

FREE RETURNS on all orders!
The following conditions must be met:

1. Items must be returned within 30 days after the purchase date.
2. Items must be unworn, undamaged and in original packaging.