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HCFA-1500 Forms (CMS-1500)The HCFA-1500 (CMS-1500) forms illustrated here are the currently used Medicare claim forms and insurance claim forms. This is the primary medical office form used for billing physician services and they are also used by other medical arts professionals. (Hospitals use the UB-92 / UB-04 Form). These HCFA1500 (CMS1500) forms have the special Red ink for OCR scanning. People often call these Red HCFA1500 Forms but of course it is the ink that is Red not the paper. Whatever you call them is OK with us as long as you call us to order them. Of course we have a full line of HCFA-1500 Envelopes and we have other styles of HCFA-1500 (CMS-1500) Forms not illustrated here. 8/05 - NPI version now available The new version of the CMS-1500 form (usually called the 8/05 or NPI version) has many new fields for NPI numbers. This is really quite a bit different, not just one new field. There are more that 50 changes to the form. This was accepted by a few carriers beginning in October 2006, and by Medicare beginning in January 2007 and was scheduled to be the standard version beginning in April 2007. The old version of the form (with the date 12/90) was to be discontinued after March 31,2007 except in a few limited cases where some agencies had not gotten their systems working yet. (Mostly a few state Medicaid programs.) All forms supplied by Rx Data Systems are guaranteed to be 100% compliant. 97% of the tens of thousands of customers who buy hundreds of millions of forms from us return month after month, year after year to buy their forms. They know we offer the highest quality and lowest total cost with the fastest delivery and best service in the industry. When you manufacture more than 1 million forms a day you have to make them right. We have the new forms available in all our warehouses. We will be happy to send you samples via mail, Fax or Email. We will continue to offer the lowest total cost including our discounted shipping. If you use software to fill out the form, that needs to be updated to work with the 8/05 NPI version. This is not just a simple update since it requires changes to the underlying databases, screens, calculations, etc. So you need to contact your software company if they have not contacted you. For most users this is a major upgrade and priced accordingly.
Don't forget CMS / HCFA-1500 Envelopes. Save even more by using our Print & Fax Order Form. Call (800) 828-1355 to order or with any question. Want to know more about the HCFA-1500 (CMS-1500) Form? Pricing and Buying HCFA-1500 Forms (CMS-1500 Forms) Prices are shown for a single box of forms. Save even more by buying more! Save even more by using our Print & Fax Order Form. Call (800) 828-1355 to order or with any question. All forms listed are printed to NUCC / Medicare standards with special OCR Red Ink with the "1500" in Black as required. The backs of the 1500 forms are printed in the special Red Ink with the required Government / CHAMPUS etc. information. All Multiple Part forms are carbonless. Prices do not include shipping. We ship from 16 warehouses around the U S and will calculate the lowest shipping costs when you place your order. Shipping averages $9 - 13 / box based on the weight and where you are in relation to our warehouses. Most of the US is 1-2 days by ground via UPS/FedEx from one of our 16 shipping locations. Your total cost is lower with us because our forms and our shipping together are less and we have no handling fees and still provide live customer service! Figuring the lowest shipping takes us more time but we save you dollars per box by only charging you for our actual discounted cost of shipping. Forms average 28 pounds per box, so shipping can be costly. By shipping from 16 locations and only charging real shipping costs we reduce your total cost and you get your forms fast. Not all companies operate this way (each to their own) but we think you should know what your total cost covers. Note that those companies who say shipping is "FREE" just include the cost of shipping in their higher prices. If you want to see what shipping can cost just go to www.ups.com and see how much it costs to ship a 28 pound box from your home to your office. Because we ship such a large volume we get a discounted rate and we pass that on to our customers who make it possible. But you know UPS does not deliver things for Free no matter how much business you give them! Save even more by using our Print & Fax Order Form. Other Styles of HCFA-1500 (CMS-1500) We have other styles of HCFA-1500 (CMS-1500) Forms not listed above including padded forms and HCFA forms with blown on labels. Most users require the OCR Red HCFA1500 (CMS-1500) Forms for OCR scanning by Medicare, Medicaid and Insurance Carriers. As noted above, we still make the the 12/90 version 1500 forms in very limited quantities. Imprinting of your information (Name, UPIN, NPI, Address, etc.) is available on all 1 part and Snap Set HCFA1500 (CMS-1500) Forms. Please call for a quotation. About the HCFA-1500 (CMS-1500) The HCFA-1500 was originally designed for Medicare claims but has since been adopted by most insurance companies. It is now known "officially" as the CMS-1500 since HCFA changed their name to CMS. But the form itself did not change at that time. The currently accepted form is known as the 8/05 version and has many new fields for NPI numbers. The data area and the data that goes there is the same on all the formats (laser, continuous, etc.) The HCFA-1500 was introduced in 1984 as a "regular" form printed with Black ink, but in 1990 this was changed to the special Red ink calibrated for OCR (Optical Character Recognition) scanning. Medicare and most insurance carriers scan these forms into their systems,. They only "see" the data you print on them not the stuff preprinted in Red. Even if you fill your forms out by hand (which means they will not be scanned for data) they still want the correct form. Data on hand written forms must be entered manually in the carriers computer systems which usually slows processing by a few days. Most carriers scan in all claims (even hand written forms) to keep an electronic image of the form so they can call it up an a computer screen if needed rather than dig through a file cabinet for it. Some large providers also archive images of their HCFA-1500 / CMS-1500 claims, but most keep a hard copy of each claim in the patient file for reference and re-submittal questions. This is also a common practice by those who file claims electronically. The special color of Red is a specific formulation of ink used to produce the specifically required color of Red used for optical scanning by Medicare and the Insurance Carriers. How light or dark the ink is does not matter a lot to the scanner. It is the exact color it is looking for. This color is not reproducible by most computer color printers which is why you can't print the forms as you need them. (Of course if you printed more than a few the cost of the color toners and paper would be more than we charge for the printed forms). Call (800) 828-1355 to order or with any question.
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