Includes all updates to the 02/12 version approved by the NUCC (National Uniform Claim Committee) Convenient to use: 1-part form on 20# white bond stock, printed in OCR red ink. Industry standard: Accepted by most health insurance companies. Personalized forms add professionalism: help avoid processing errors. Free personalization: Includes imprinted name, address, phone number, and NPI number. Single sheet format: Works with most laser printers.
SIZE: 8 1/2 x 11"
