الاجهزه الالكترونيات الامريكية قد تحتاج الى محمول فولت من ١١٠ الى ٢٢٠.قد تحتاج إلى محول كهرباء
مميزات خاصة
(CMS 1450) Health Insurance Claim Form, Laser / Ink-JetFormat
1 Part 8-1/2 x 11 (Letter Size)
Accommodates reporting of the National Provider Identifier (NPI) number
Detailed Layout: The form features clearly labeled fields to capture patient information, diagnosis codes, procedure details, and billing data required for accurate claim processing.
وصف
This Hospital Insurance Claim Form is an essential document for medical billing and insurance claims processing. This standardized form, measuring 8 1/2 x 11 inches, is designed to capture crucial patient information, diagnosis codes, procedure codes, and charges for hospital services rendered. With a pack of 500 forms, you'll have ample supply for efficient record-keeping and claim submissions. Ensure accurate reimbursement and streamline your medical billing process with this industry-standard CMS-1450 form.