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CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 250 Forms Total

SKU TFPCMS12LC250

More Info

$18.57/PK
In Stock
Made in USA

Product Description

CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 250 Forms Total. Meet billing requirements for Medicare Part B. Easy-to-read forms with crisp, clean text help ensure faster claims processing. Paper, layout and ink comply with CMS standards and requirements. Layout includes all 02/12 NUCC revisions and is a direct repla

Technical Specifications

  • White
  • One-Part (No Copies)
  • No
  • 250
  • 8.5 x 11
  • CMS-1500
  • Unbound
  • 1
  • Insurance Forms
  • White
  • 1500 Health Insurance Claim Form
  • OCR Red
  • 8.5 x 11
  • 0%
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