---
product_id: 37962528
title: "CMS 1500 Claim Forms \"ICD-10\" HCFA (Version 02/12) - Health Insurance, Laser Cut Sheet - 5,000 Sheets"
brand: "formsandchecks"
price: "€ 177.38"
currency: EUR
in_stock: false
category: "Office Product"
url: https://www.desertcart.pt/products/37962528-cms-1500-claim-forms-icd-10-hcfa-version-02-12
store_origin: PT
region: Portugal
---

# NPI & ICD-10 ready OCR-scannable ink 5000 sheets CMS 1500 Claim Forms "ICD-10" HCFA (Version 02/12) - Health Insurance, Laser Cut Sheet - 5,000 Sheets

**Brand:** formsandchecks
**Price:** € 177.38
**Availability:** ❌ Out of Stock

## Summary

> 📄 Claim Your Success with Every Form!

## Quick Answers

- **What is this?** CMS 1500 Claim Forms "ICD-10" HCFA (Version 02/12) - Health Insurance, Laser Cut Sheet - 5,000 Sheets by formsandchecks
- **How much does it cost?** € 177.38 with free shipping
- **Is it available?** Currently out of stock
- **Where can I buy it?** [www.desertcart.pt](https://www.desertcart.pt/products/37962528-cms-1500-claim-forms-icd-10-hcfa-version-02-12)

## Best For

- formsandchecks enthusiasts

## Why This Product

- Trusted formsandchecks brand quality
- Free international shipping included
- Worldwide delivery with tracking
- 15-day hassle-free returns

## Key Features

- • **Precision Printing:** Designed for laser and inkjet printers for flawless results every time.
- • **Universal Acceptance:** Government-approved CMS-1500 forms for all your insurance needs.
- • **High Volume Efficiency:** 5,000 sheets to keep your office running smoothly without interruptions.
- • **Future-Ready Compliance:** Accommodates the latest ICD-10 and NPI requirements for seamless reporting.
- • **Streamlined Claims Processing:** Experience hassle-free submissions with our jam-free performance paper.

## Overview

The CMS 1500 Claim Forms (Version 02/12) are essential for healthcare providers, featuring 5,000 sheets designed for laser and inkjet printers. These forms are government-approved and accommodate the latest ICD-10 and NPI requirements, ensuring compliance and efficiency in claims processing.

## Description

The most significant change was the addition of 8 diagnosis codes in field 21. Includes new QR code identifier at the top of the form that supports and aligns with Industry scanning systems. Printed with OCR "dropout" red ink on 20lb. paper (per government regulations)..

## Features

- Version 02/12,
- Accommodates reporting of the National Provider Identifier (NPI) number and the new ICD-10
- 5000 Single Sheets for laser / Inkjet Printers
- Jam-free performance Paper are printed in OCR-scannable red ink. Approved OMB 0938-1197
- All forms are government approved CMS-1500 to serve federal programs and private insurers as a universal claim form.

## Images

![CMS 1500 Claim Forms "ICD-10" HCFA (Version 02/12) - Health Insurance, Laser Cut Sheet - 5,000 Sheets - Image 1](https://images-na.ssl-images-amazon.com/images/I/51tUfd9mKUL.jpg)

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**Shop now:** [https://www.desertcart.pt/products/37962528-cms-1500-claim-forms-icd-10-hcfa-version-02-12](https://www.desertcart.pt/products/37962528-cms-1500-claim-forms-icd-10-hcfa-version-02-12)

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*Product available on Desertcart Portugal*
*Store origin: PT*
*Last updated: 2026-05-16*