CMS-1500 Laser Sheet Insurance Claim Form Version 02/12 - 500 forms
Version 02/12

CMS-1500 Laser Sheet Insurance Claim Form Version 02/12 - 500 forms

Your Price: $27.93
In Stock.
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Part Number:60150X
Quantity Pricing
Quantity
Price
  • 2 - 4
  • $27.09
  • 5 - 9
  • $26.53
  • 10+
  • $25.14

Feature:

Size: 8 1/2 x 11"

Feature:

500 Forms per unit

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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