{"product_id":"60150x-cms-1500-laser-sheet-insurance-claim-form-version-02-12-8-1-2-x-11","title":"60150X CMS 1500 Laser Sheet Insurance Claim Form Version 02\/12 8 1\/2 x 11\"","description":"\u003cspan style=\"font-family: tahoma,arial,helvetica,sans-serif; font-size: medium;\" class=\"fontcoloronly\"\u003e\u003cspan class=\"fontcoloronly\"\u003e\u003cspan style=\"color: #990000; font-size: large; font-family: verdana, geneva;\" color=\"#990000\" size=\"2\" face=\"arial,helvetica, sans-serif\"\u003e\u003cb\u003e60150X CMS 1500 Laser Sheet Insurance Claim Form Version 02\/12\u003c\/b\u003e \u003c\/span\u003e\u003cbr\u003e\u003cspan size=\"1\" face=\"Arial, Helvetica, sans-serif\"\u003e\u003cspan style=\"font-family: verdana, geneva;\"\u003e\u003cstrong\u003e Size: 8 1\/2 x 11\"\u003c\/strong\u003e\u003c\/span\u003e\u003cbr\u003e\u003cspan size=\"2\" face=\"arial,helvetica, sans-serif\" style=\"font-family: verdana, geneva;\"\u003e\u003cspan size=\"2\" face=\"arial,helvetica, sans-serif\"\u003eSpeed third-party billing and manage your cash flow with this AMA and CMS approved claim form for your laser printer.\u003cbr\u003e\u003c\/span\u003e\u003c\/span\u003e\u003c\/span\u003e\u003c\/span\u003e\u003c\/span\u003e\u003cspan style=\"font-family: verdana, geneva;\"\u003e\u003cspan style=\"font-size: medium;\"\u003eIncludes all updates to the 02\/12 version approved by the NUCC (National Uniform Claim Committee)\u003c\/span\u003e\u003cspan style=\"font-size: medium;\" class=\"fontcoloronly\"\u003e\u003cspan class=\"fontcoloronly\"\u003e\u003cspan size=\"1\" face=\"Arial, Helvetica, sans-serif\"\u003e\u003cspan size=\"2\" face=\"arial,helvetica, sans-serif\"\u003e\u003cspan size=\"2\" face=\"arial,helvetica, sans-serif\"\u003e\u003c\/span\u003e\u003c\/span\u003e\u003c\/span\u003e\u003c\/span\u003e\u003c\/span\u003e\u003cspan style=\"font-size: medium;\" class=\"fontcoloronly\"\u003e\u003cspan class=\"fontcoloronly\"\u003e\u003cspan size=\"1\" face=\"Arial, Helvetica, sans-serif\"\u003e\u003cspan size=\"2\" face=\"arial,helvetica, sans-serif\"\u003e\u003cspan size=\"2\" face=\"arial,helvetica, sans-serif\"\u003e\u003c\/span\u003e\u003c\/span\u003e\u003c\/span\u003e\u003c\/span\u003e\u003c\/span\u003e\u003c\/span\u003e\u003cp\u003e\u003c\/p\u003e\u003cspan style=\"font-family: verdana, geneva; font-size: medium;\" class=\"fontcoloronly\"\u003e\u003cspan class=\"fontcoloronly\"\u003e\u003cspan size=\"1\" face=\"Arial, Helvetica, sans-serif\"\u003e\u003cspan size=\"2\" face=\"arial,helvetica, sans-serif\"\u003e\u003cspan size=\"2\" face=\"arial,helvetica, sans-serif\"\u003e\u003c\/span\u003e\u003c\/span\u003e\u003c\/span\u003e\u003c\/span\u003e\u003c\/span\u003e\u003cul type=\"square\"\u003e\n\u003cli\u003e\u003cspan style=\"font-family: verdana, geneva; font-size: medium;\"\u003eConvenient and easy to use! \u003c\/span\u003e\u003c\/li\u003e\n\u003cli\u003e\u003cspan style=\"font-family: verdana, geneva; font-size: medium;\"\u003e1-part form on 20# white bond stock, printed in OCR red ink.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli\u003e\u003cspan style=\"font-family: verdana, geneva; font-size: medium;\"\u003eFor padded forms, please see products \u003ca href=\"http:\/\/5forms.com\/60152X-CMS-1500-Laser-Pad-Insurance-Claim-Form-Version-02\/12-Size-8-1\/2-x.aspx\"\u003e60152X\u003c\/a\u003e\u003cbr\u003e\u003c\/span\u003e\u003c\/li\u003e\n\u003cli\u003e\u003cspan style=\"font-family: verdana, geneva; font-size: medium;\"\u003eAccommodates NPI numbers as mandated by HIPAA.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli\u003e\u003cspan style=\"font-family: verdana, geneva; font-size: medium;\"\u003eAccepted by most health insurance companies.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli\u003e\u003cspan style=\"font-family: verdana, geneva; font-size: medium;\"\u003eSingle sheet format works with most laser printers.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli\u003e\u003cstrong\u003e\u003cspan style=\"font-family: verdana, geneva; font-size: medium;\"\u003eComes in packs of 500.\u003c\/span\u003e\u003c\/strong\u003e\u003c\/li\u003e\n\u003cli style=\"font-family: Century Gothic;\"\u003e\u003cspan style=\"font-size: medium; font-family: verdana, geneva;\"\u003e100% Satisfaction Guarantee.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli style=\"font-family: Century Gothic;\"\u003e\u003cspan style=\"font-size: medium; font-family: verdana, geneva;\"\u003eHigher quantities are available at discounted prices. \u003c\/span\u003e\u003c\/li\u003e\n\u003cli style=\"font-family: Century Gothic;\"\u003e\u003cspan style=\"font-size: medium; font-family: tahoma,arial,helvetica,sans-serif;\"\u003e\u003cspan style=\"font-family: verdana, geneva;\"\u003eSpeak to a customer service specialist at 855-5FORMS5 or 855-536-7675. 9AM - 7PM EST Monday - Thursday and 9AM - 5PM EST on Friday.\u003c\/span\u003e\u003cbr\u003e\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\u003cbr\u003e\u003cbr\u003e\u003cspan style=\"font-family: tahoma,arial,helvetica,sans-serif; font-size: medium;\" class=\"fontcoloronly\"\u003e\u003cspan size=\"1\" face=\"Arial, Helvetica, sans-serif\"\u003e\u003c\/span\u003e\u003c\/span\u003e","brand":"NEBS","offers":[{"title":"500 - Claim Forms","offer_id":42383438348347,"sku":"60150X","price":55.78,"currency_code":"USD","in_stock":true},{"title":"1000 - Claim Forms","offer_id":42383437987899,"sku":"60150X","price":85.31,"currency_code":"USD","in_stock":true},{"title":"1500 - Claim Forms","offer_id":42383438086203,"sku":"60150X","price":116.16,"currency_code":"USD","in_stock":true},{"title":"2000 - Claim Forms","offer_id":42383438184507,"sku":"60150X","price":151.59,"currency_code":"USD","in_stock":true},{"title":"2500 - Claim Forms","offer_id":42383438250043,"sku":"60150X","price":185.06,"currency_code":"USD","in_stock":true},{"title":"5000 - Claim Forms","offer_id":42383438381115,"sku":"60150X","price":377.34,"currency_code":"USD","in_stock":true},{"title":"7500 - Claim Forms","offer_id":42383438479419,"sku":"60150X","price":559.78,"currency_code":"USD","in_stock":true},{"title":"10000 - Claim Forms","offer_id":42383438020667,"sku":"60150X","price":743.53,"currency_code":"USD","in_stock":true},{"title":"15000 - Claim Forms","offer_id":42383438118971,"sku":"60150X","price":1112.34,"currency_code":"USD","in_stock":true},{"title":"20000 - Claim Forms","offer_id":42383438217275,"sku":"60150X","price":1445.06,"currency_code":"USD","in_stock":true},{"title":"25000 - Claim Forms","offer_id":42383438282811,"sku":"60150X","price":1807.31,"currency_code":"USD","in_stock":true},{"title":"30000 - Claim Forms","offer_id":42383438315579,"sku":"60150X","price":2166.28,"currency_code":"USD","in_stock":true},{"title":"50000 - Claim Forms","offer_id":42383438413883,"sku":"60150X","price":3430.22,"currency_code":"USD","in_stock":true},{"title":"62500 - Claim Forms","offer_id":42383438446651,"sku":"60150X","price":4285.97,"currency_code":"USD","in_stock":true},{"title":"75000 - Claim Forms","offer_id":42383438512187,"sku":"60150X","price":5014.41,"currency_code":"USD","in_stock":true},{"title":"100000 - Claim Forms","offer_id":42383438053435,"sku":"60150X","price":6083.44,"currency_code":"USD","in_stock":true},{"title":"160000 - Claim Forms","offer_id":42383438151739,"sku":"60150X","price":8375.06,"currency_code":"USD","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0618\/8462\/9051\/files\/60150X.jpg?v=1754996778","url":"https:\/\/5forms.com\/products\/60150x-cms-1500-laser-sheet-insurance-claim-form-version-02-12-8-1-2-x-11","provider":"5Forms-LLC","version":"1.0","type":"link"}