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Medical
CMS
CMS-1500 Laser Pad Insurance Claim Version 0212 Form 500 Forms
Zoom in on Image(s)
Accommodates NPI numbers as mandated by HIPAA
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Insurance Claim Form
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Your Price:
$41.40
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Retail Price:
$127.99
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Part Number:
60152X
Availability:
We are Sorry item is Out of Stock.
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Feature:
Size: 8 1/2 x 11"
Feature:
500 Forms per unit
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Description
Specifications
Speed third-party billing and manage your cash flow with this AMA and CMS approved claim form for your laser printer.
Includes all updates to the 02/12 version approved by the NUCC (National Uniform Claim Committee)
Convenient and easy to use!
1-part form on 20# white bond stock, printed in OCR red ink.
Accommodates NPI numbers
as mandated by HIPAA.
Accepted by most
health insurance companies.
Single sheet format
works with most laser printers.
Quantity:
Comes in packs of 500
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