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CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 1,000 Forms Total
CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 1,000 Forms Total
Quick Find
: 7533342
Casepack
: 1000
UOM
: CT
Model #
: CMS12LC1
SKU
: TFPCMS12LC1
$48.53
/ CT
This product qualifies for quantity discount pricing.
Quantity
Per Item Price
1-5
$48.53
6-10
$47.45
11+
$46.74
Quantity:
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Product Description
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. Form Type Details: CMS-1500; Dated: No; Forms Per Page: 1; Form Size: 8.5 x 11.