Meet Your Seller

DeJin Store

See Seller Store

Main image of 500 CMS 1500 Claim Forms, HIPAA Compliant, Laser Current 02/2012 Version, Red Ink, 20 lb, Laser and Inkjet, HCFA 1500 Health Insurance Claim Form, Billing Ready

Alt view image 2 of 5 - 500 CMS 1500 Claim Forms, HIPAA Compliant, Laser Current 02/2012 Version, Red Ink, 20 lb, Laser and Inkjet, HCFA 1500 Health Insurance Claim Form, Billing Ready

Alt view image 3 of 5 - 500 CMS 1500 Claim Forms, HIPAA Compliant, Laser Current 02/2012 Version, Red Ink, 20 lb, Laser and Inkjet, HCFA 1500 Health Insurance Claim Form, Billing Ready

Alt view image 4 of 5 - 500 CMS 1500 Claim Forms, HIPAA Compliant, Laser Current 02/2012 Version, Red Ink, 20 lb, Laser and Inkjet, HCFA 1500 Health Insurance Claim Form, Billing Ready

Alt view image 5 of 5 - 500 CMS 1500 Claim Forms, HIPAA Compliant, Laser Current 02/2012 Version, Red Ink, 20 lb, Laser and Inkjet, HCFA 1500 Health Insurance Claim Form, Billing Ready

Shop All Generic Logic, Inc. Products | Visit DeJin Store

500 CMS 1500 Claim Forms, HIPAA Compliant, Laser Current 02/2012 Version, Red Ink, 20 lb, Laser and Inkjet, HCFA 1500 Health Insurance Claim Form, Billing Ready

Be the first to review this product...

Easily get reimbursed by insurance companies with the current 02/2012 version CMS-1500 Forms (OMB-0938-1197) that are 100% compliant with HIPAA, with all correct content, red ink, and 1-part printing style. All printed fields on our hicfa form 1500 align with the correct boxes when using your templates or billing software, with consistently high-quality forms manufactured in the USA. Thick 20 LB paper that easily feeds through both laser and ink jet printers. 100% compliant with the HIPAA Act, with all forms printed in the USA by US government certified printers. CMS-1500 forms are required for health care providers to receive reimbursements for clients. Medicare began accepting the new 02/2012 version in January of 2014 and now only accepts this version

Overview

Specs

Reviews

Any questions? Our AI mode will help you find out quickly.

Try me now

Easily get reimbursed by insurance companies with the current 02/2012 version CMS-1500 Forms (OMB-0938-1197) that are 100% compliant with HIPAA, with all correct content, red ink, and 1-part printing style. All printed fields on our hicfa form 1500 align with the correct boxes when using your templates or billing software, with consistently high-quality forms manufactured in the USA. Thick 20 LB paper that easily feeds through both laser and ink jet printers. 100% compliant with the HIPAA Act, with all forms printed in the USA by US government certified printers. CMS-1500 forms are required for health care providers to receive reimbursements for clients.

Medicare began accepting the new 02/2012 version in January of 2014 and now only accepts this version

Additional Information
First Listed on Newegg	October 06, 2026

Warranty & Returns

Warranty, Returns, And Additional Information

Warranty

Please contact the Seller directly for warranty information. Warranty information may also be found on the Manufacturer's website.
CONTACT

Return Policies

Return for refund within: 30 days
Return for replacement within: 30 days
This item is covered by DeJin Store Return Policy

Manufacturer Contact Info

For a directory of all our manufacturers, please click below.
Manufacturers Directory

Item#: 9SIC8ZNM819213