Description
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 laser printer. Accommodates NPI numbers as mandated by HIPAA. Accepted by most health insurance companies. Single sheet format works with most laser printers. Convenient and easy to use! 1-part form on 20# white bond stock, printed in OCR red ink.
SIZE: 8 1/2 x 11"
