CMS-1500 Health Insurance Claim Form, Two-Part Carbonless, 8.5 x 11, 250 Forms Total [SKU: TFPCMS12LC250]

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MSRP: $43.83
$21.92
(You save $21.91 )
SKU:
TFPCMS12LC250
UPC:
758399422254
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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: 250 / 1PK] [PMS SKU: ] [Category: OFFICE SUPPLIES/GENERAL FORMS;Shop All]