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The 02/12 revised 1500 Claim Form is still in the approval process by the Centers for Medicare and Medicaid Services (CMS) which appears will delay the previously planned June and October 2013 deadlines for use.
National Uniform Claim Committee (NUCC) will review the timeline and make adjustments accordingly once final approval of the revisions by the Office of Management and Budget (OMB) has been received.
Approval is imminent in order to be used in conjunction with the ICD-10 coding system. The ICD-10 transition period has been pushed back to October 1, 2014 (originally designated for October, 2013).
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CMS 1500 (02/12) Claim Forms, Continuous, 1 part, White paper, Red (OCR) ink - 2500/ctn
Release of the new CMS1500 (02/12) claim form is on hold pending approval by CMS.
Learn More1500-1C
Price: $40.00 -
CMS 1500 (02/12) Claim Forms, Continuous, 2 part, White/Canary paper, Red (OCR) ink - 1000/ctn
Release of the new CMS1500 (02/12) claim form is on hold pending approval by CMS.
Learn More1500-2C
Price: $44.00 -
CMS 1500 (02/12) Claim Form, Continuous, 2 part, White/White paper, Red (OCR) ink - 1000/ctn
Release of the new CMS1500 (02/12) claim form is on hold pending approval by CMS.
Learn More1500-2CW
Price: $39.00
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CMS1500 (02/12) Claim Form, Continuous, 3 part, White/Canary/Pink paper, Red (OCR) ink - 500/ctn
Release of the new CMS1500 (02/12) claim form is on hold pending approval by CMS.
Learn More1500-3C
Price: $40.00 -
CMS 1500 (02/12) Claim form, Laser, 1 part, White paper, Red (OCR) ink - 500/pack
Release of the new CMS1500 (02/12) claim form is on hold pending approval by CMS.
Learn More1500-L
Price: $14.50 As low as: $7.40 -
Jumbo CMS 1500 Envelope, Right Window - 100/pack
1500LR
Price: $28.00 As low as: $15.00















