 Satisfy recordkeeping requirements with CMS-1500 Health Insurance Claim Forms... for use by all medical facilities.
Per federal regulations, all healthcare providers must use the CMS-1500 Form for specific types of billing. The CMS-1500 accommodates reporting of the National Provider Identifier, which must be used by all HIPAA-covered entities. |  Reduce billing errors with UB-04 Health Insurance Claim Forms... for use by hospitals and institutions
Designed for hospitals to file a medical claim with the patient's insurance carrier, Form UB-04 is printed with OCR "dropout" red ink on 20# paper. |  Use the latest version of the ADA Dental Claim Form.
This is the latest version of the claim/attending dentist form.
It's authorized by the American Dental Association (ADA).
100% compliant to meet ADA guidelines.
Additional previous versions and compatible envelopes available upon request - 2004 |