Speed third-party billing and manage your cash flow with this AMA and CMS approved claim form for your continuous printer. Includes all updates to the 02/12 version approved by the NUCC (National Uniform Claim Committee) Accepted by most health insurance companies. Convenient and easy to use! 2-part, clean carbonless forms on 20#/15# self-duplicating stock, printed in OCR red ink. Continuous printer form speeds processing. Accommodates NPI numbers as mandated by HIPAA.
SIZE: 8 1/2 x 11"