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.
CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 1,000 Forms Total
$139.09
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MODEL NO :
CMS12LC1
CATEGORIES : Forms, Office Supplies
TAGS : Documents, Paperwork, Pre-Printed, Record-Keeping, Records
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