---
product_id: 13815193
title: "CMS 1500 Claim Forms \"New\" HCFA (Version 02/12) - Health Insurance, Laser Cut Sheet - 500 Sheets"
brand: "prime business checks"
price: "R611"
currency: ZAR
in_stock: false
reviews_count: 8
url: https://www.desertcart.co.za/products/13815193-cms-1500-claim-forms-new-hcfa-version-02-12-health
store_origin: ZA
region: South Africa
---

# 500 laser-cut sheets OCR dropout red ink for flawless scanning Made in USA, HIPAA & Medicare compliant CMS 1500 Claim Forms "New" HCFA (Version 02/12) - Health Insurance, Laser Cut Sheet - 500 Sheets

**Brand:** prime business checks
**Price:** R611
**Availability:** ❌ Out of Stock

## Summary

> 📑 Stay ahead in healthcare billing with the only CMS-1500 form that means business!

## Quick Answers

- **What is this?** CMS 1500 Claim Forms "New" HCFA (Version 02/12) - Health Insurance, Laser Cut Sheet - 500 Sheets by prime business checks
- **How much does it cost?** R611 with free shipping
- **Is it available?** Currently out of stock
- **Where can I buy it?** [www.desertcart.co.za](https://www.desertcart.co.za/products/13815193-cms-1500-claim-forms-new-hcfa-version-02-12-health)

## Best For

- prime business checks enthusiasts

## Why This Product

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

## Key Features

- • **Next-Gen OCR Red Ink:** Special dropout red ink ensures ultra-accurate scanning and claim processing every time.
- • **HIPAA & Regulatory Certified:** Developed with top healthcare agencies to guarantee secure, compliant billing.
- • **Optimized for Laser & Inkjet:** Standard 8.5” x 11” size fits all office printers for effortless claim submissions.
- • **Medicare-Approved Version 02/12:** Fully compliant with the latest CMS standards, accepted nationwide since 2014.
- • **Precision-Perfect Laser Cut Sheets:** 500 crisp, ready-to-use forms designed for seamless printing and handling.

## Overview

The CMS 1500 Claim Forms (Version 02/12) are a set of 500 laser-cut, HIPAA-compliant sheets printed with OCR dropout red ink for superior scanning accuracy. Made in the USA and fully Medicare-approved since 2014, these 8.5” x 11” forms are optimized for both laser and inkjet printers, ensuring healthcare providers can submit insurance claims efficiently and securely.

## Description

CMS 1500 Claim Forms "NEW" HCFA (Version 02/12) - Health Insurance, Laser Cut Sheet: Satisfy the NEW medical billing requirements with compliant CMS-1500 forms. * Required for healthcare providers to bill a patient's insurance company for reimbursement of medical claims. * CMS-1500 (version 02/12) replaces form (version 08/05). * Forms must adhere to strict printing standards that govern the layout, paper and ink. * Each form must have accurate content and conform to the Health Insurance Portability and Accountability Act (HIPAA). * Developed in conjunction with all the governing agencies, including the National Uniform Claim Committee (NUCC), the National Uniform Billing Committee (NUBC), the CMS Centers for Medicare and Medicaid Services, the Health and Human Services Agency, and the American Hospital Association. * 20-lb paper with OCR "dropout" red ink for greater scanning accuracy. * 500 Sheets

Review: Save Money - Same HCFA! - Same forms used at medical practices normally purchased at big box stores for close to double the price! Excellent quality, no issues with printing. Can't beat the deal on desertcart unless you find a local independent supplier who will price match. Fortunately, I did, but this will be my back-up.
Review: Great deal - I love that I can order these online and so reasonably priced. Perfect solution for my busy life.

## Features

- Required for healthcare providers to bill a patient's insurance company for reimbursement of medical claims. - 500 Sheets - Made in USA
- CMS-1500 (version 02/12) replaces form (version 08/05) - 1-Part Laser Form CMS-1500 Printed in Red Ink
- Each form must have accurate content and conform to the Health Insurance Portability and Accountability Act (HIPAA). - Developed in conjunction with all the governing agencies, including the National Uniform Claim Committee (NUCC), the National Uniform Billing Committee (NUBC), the CMS Centers for Medicare and Medicaid Services, the Health and Human Services Agency, and the American Hospital Association.
- New Version 02/12 (APPROVED OMB-0938-1197) - Size 8-1/2" x 11" for Laser and Inkjet Printers - Starting 04/04/14 Medicare will accept this Version 02/12 "ONLY"
- Forms must adhere to strict printing standards that govern the layout, paper and ink. - 20-lb paper with OCR "dropout" red ink for greater scanning accuracy.

## Technical Specifications

| Specification | Value |
|---------------|-------|
| ASIN | B00MXHFM5G |
| Best Sellers Rank | #449,446 in Office Products ( See Top 100 in Office Products ) #45 in Health Insurance Claim Forms |
| Brand | Prime Business Checks |
| Customer Reviews | 4.0 4.0 out of 5 stars (165) |
| Date First Available | August 22, 2014 |
| Is Discontinued By Manufacturer | No |
| Item Weight | 5 pounds |
| Item model number | 3973412 |
| Manufacturer | Prime Business Checks |
| Manufacturer Part Number | 3973412 |
| Material Type | Paper |
| Product Dimensions | 8.5 x 11 x 2.5 inches |
| Sheet Size | 8.5-x-11-inch |
| Size | 1500 |

## Images

![CMS 1500 Claim Forms "New" HCFA (Version 02/12) - Health Insurance, Laser Cut Sheet - 500 Sheets - Image 1](https://m.media-amazon.com/images/I/71dT43vnrcL.jpg)
![CMS 1500 Claim Forms "New" HCFA (Version 02/12) - Health Insurance, Laser Cut Sheet - 500 Sheets - Image 2](https://m.media-amazon.com/images/I/81VIeeEd1lL.jpg)

## Customer Reviews

### ⭐⭐⭐⭐⭐ Save Money - Same HCFA!
*by L***A on July 16, 2015*

Same forms used at medical practices normally purchased at big box stores for close to double the price! Excellent quality, no issues with printing. Can't beat the deal on Amazon unless you find a local independent supplier who will price match. Fortunately, I did, but this will be my back-up.

### ⭐⭐⭐⭐⭐ Great deal
*by A***R on January 23, 2020*

I love that I can order these online and so reasonably priced. Perfect solution for my busy life.

### ⭐⭐⭐⭐⭐ Quality billing forms!
*by A***R on September 18, 2017*

Perfect these forms worked seamlessly with our billing program and were great quality! I had purchased these forms a few months ago from a DIFFERENT seller and the paper was thinner, red ink streaked on the back,and our template was always slightly off when importing to the forms. This seller was the best! The forms were on thicker paper, high quality! Would HIGHLY recommend!

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**Shop now:** [https://www.desertcart.co.za/products/13815193-cms-1500-claim-forms-new-hcfa-version-02-12-health](https://www.desertcart.co.za/products/13815193-cms-1500-claim-forms-new-hcfa-version-02-12-health)

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*Product available on Desertcart South Africa*
*Store origin: ZA*
*Last updated: 2026-03-18*