New Health Insurance Claim Form CMS-1500 now available from the U.S. Government Bookstore! CLICK TO LEARN MORE! View this on a mobile device or as a web page  |  Manage your subscriptions  |  BookTalk blog  |    For consistent delivery, add gpo@service.govdelivery.com to your address book. BROWSE BY TOPIC Recent Releases Best Sellers eBooks & e-Magazines Subscriptions Standing Orders Sale & Clearance SEARCH OUR SITE New Health Insurance Claim Form (CMS-1500) The National Uniform Claim Committee (NUCC) recently revised Form CMS-1500. The newly revised Form CMS-1500, 02/12 replaces the current Form CMS-1500, 08/05, effective with claims received on and after April 1, 2014. The revised 02/12 version of CMS-1500 claim form is currently available for sale through the U.S. Government Bookstore. Health Insurance Claim Form (CMS-1500) Single Sheets (Revised 2012) The CMS-1500 form is the standard claim form developed by the National Uniform Claim Committee (NUCC) and used by all non-institutional medical provider or supplier to bill Medicare carriers and durable medical equipment regional carriers (DMERCs) when a provider qualifies for a waiver from the Administrative Simplification Compliance Act (ASCA) requirement for electronic submission of claims. It is also used for billing of some Medicaid State Agencies (contact your Medicaid State Agency for more details). This package consists of 100 original, blank single sheets of the February 2012 Revision of the official CMS-1500 Medicare and Medicaid health insurance claim form required by the Centers for Medicare & Medicaid Services (CMS) of the U.S. Department of Health & Human Services. (Sold only in packages of 100 blank forms under this stock number.) Back to top Year/Pages: 2012: Form. Stock #: 017-060-00663-3 U.S. Price: $32.00   Manage Your Newsletter Subscriptions: To subscribe to additional U.S. Government Bookstore email newsletter topics, modify your password or e-mail address, or stop subscriptions at any time, visit your Subscriber Preferences Page. If you have questions or problems with the subscription service, please contact support@govdelivery.com. **************************** PRICES: Prices and availability are subject to change. ORDER METHODS: In addition to online, orders may be submitted via telephone, fax (202) 512-2104, email, and postal mail. Contact the GPO Contact Center between 8:00 a.m. and 5:30 p.m., EST at 1-866-512-1800 (Toll-free) or 202-512-1800 (DC Metro area or International Customers) to place or inquire about orders. When placing an order via phone, please refer to processing code 3378. Send email orders to ContactCenter@gpo.gov. To place an order by regular mail, send payment to U.S. Government Printing Office, P.O. Box 979050, St. Louis, MO 63197-9000. **************************** U.S. Government Printing Office (GPO) · 732 N. Capitol Street, NW · Washington, DC 20401 Shop our U.S. Government Online Bookstore: http://bookstore.gpo.gov Help & Contact |  About GPO Publication & Information Sales |  Privacy | Accessibility | Security

GPO on Social Media:

 

This email was sent to k34101050@gmail.com on behalf of: Government Printing Office (GPO) · 732 N Capitol Street, NW · Washington, DC 20401 · 866-512-1800

Socializer Widget By Trang Anh Nam

SOCIALIZE IT →

Tweet

FOLLOW US →

SHARE IT →