CMS 1500 3941-S-R12
SKU
MPSBRG-3941-S-R12
In stock
MPN | 3941-S-R12 |
---|---|
Packaging | 1000/case |
$88.14
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The approved timeline for use of the new forms are as follows:
January 6th, 2014: Medicare begins receiving and processing paper claims submitted on the revised CMS 1500 claim form (version 02/12).
January 6 through March 31st, 2014: Dual use period during which Medicare continues to receive and process paper claims submitted on the old CMS 1500 claim form (version 08/05).
April 1st, 2014: Medicare receives and processes paper claims submitted only on the revised CMS 1500 claim form (version 02/12).
1240/2-R12: 2-part form NCR. White paper, red ink, 250/pack
1240L-R12: 1-part form. White paper, red ink, 500/pack
1240-S-R12: Padded form. White paper, red ink, 100/pad
3941/2-R12: 2-part NCR continuous form. White paper, red ink, 1000/case
3941-S-R12: 1-part continuous form. White paper, red ink, 1000/case
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