Jaxplaza Insurance Claim Form ver 02/12, White, 2, 500 Sheets (CMS-1500) Version 02/12, 2,500 Sheets Accommodates reporting of the National Provider Identifier (NPI) number Jam-free performance Paper are printed in OCR-scannable red ink All forms are government approved CMS-1500 to serve federal programs and private insurers as a universal claim form. Approved OMB 0938-1197