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CMS-1500 Claim Forms, 02/2012 Version, 500 Count

5 reviews

  • Easily fill, submit, and get reimbursed by insurance companies with these current 02/2012 version CMS-1500 Forms (OMB-0938-1197) that are 100% compliant with HIPAA with all correct content, red ink, and 1 part printing style
  • All printed fields will align with the correct boxes when using your templates or billing software with our USA manufactured forms
  • Thick, high quality 20 lb paper stock feeds easily through both laser and inkjet printers
  • Forms are 100% compliant with HIPAA Act with all forms printed in the USA by US government certified printers


Because CMS-1500 forms are required for health care providers to receive reimbursements for clients, we know that medical offices typically go through hundreds if not thousands of claim forms in any given month. Material costs can add up quickly, so why pay more for this must-have medical office staple? Our high quality, USA-made CMS-1500 forms are made of a thick, jam-proof 20 lb paper for use in both laser and inkjet printers and are 100% compliant with the HIPAA Act with every bit of correct content, red ink, and 1-part printing required on the current 02/2012 version. Offered at the lowest cost possible, it’s our goal to make submitting your medical claim forms as affordable as possible so you can fly through the process stress-free and get reimbursed as quickly as possible.

Part #: BSS-92588-302

We stand behind our products completely. We understand that buying products online can sometimes be difficult because you cannot physically see what you are buying; however, if our product is not exactly what you are looking for or does not meet your expectations, then we welcome you to send them back anytime for a 100% refund. Click here for more information regarding refunds or returns >

Key Features:

  • 20 lb paper
  • Current 02/2012 version (OMB-0938-1197)
  • HIPAA Act compliant in accordance with American Hospital Association, CMS centers for Medicare and Medicaid Services, NUCC, and NUBC
  • Printed in red ink, per government standards
  • Dimensions: 8.5” x 11” 
  • Package quantity: 500 sheets


  • Medicare begin accepting the NEW 02/2012 version in January of 2014 and now only accepts this version.
  • Envelopes are NOT included in this bundle of forms. However, we do offer compatible single-window, self-sealing CMS-1500 form security envelopes right here.
  • We offer a free fillable CMS 1500 form template on our blog, alongside instructions for how to fold a CMS form.

Product Details:

  • Brand: Blue Summit Supplies
  • Part #: BSS-92588-302
  • SKU: MB-0D3W-M7PA
  • Barcode: X001E330PF
  • Package dimensions: 11.2 x 8.7 x 2.4 inches
  • Package weight: 5.14 pounds
Customer Reviews
5.0 Based on 5 Reviews
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Filter Reviews:
    Jeannette D.
    United States United States
    CMS-1500 Claim Forms

    Everything went smoothly with the order, the product was as expected, arrived in a timely manner.

    Taja B.
    United States United States
    Great Service!

    Easy and convenient to order and quick delivery!

    Elizabeth T.
    United States United States

    Well packaged and on time delivery.

    Jane G.
    United States United States
    Quick and easy!

    Easy to order and the forms came in super fast!!! We are very pleased!

    Pryia V.
    United States United States

    I am happy with the overall experience of BlueSummit. The supplies are always what I ask, but the customer service is above and beyond!