CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 1,000 Forms Total [SKU: TFPCMS12LC1]

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MSRP: $76.38
$38.19
(You save $38.19 )
SKU:
TFPCMS12LC1
UPC:
813859024444
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Product Overview

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 replacement for the previous 08/05 version. Printed in scannable, OCR "dropout" red ink. [QTY/UOM: 1000 / 1CT] [PMS SKU: ] [Category: OFFICE SUPPLIES/GENERAL FORMS;Shop All]