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60150X CMS 1500 Laser Sheet Insurance Claim Form Version 02/12 8 1/2 x 11"
Manufacturer: NEBS
Manufacturer Part No: 60150X
60150X CMS 1500 Laser Sheet Insurance Claim Form Version 02/12
Size: 8 1/2 x 11"
Speed third-party billing and manage your cash flow with this AMA and CMS approved claim form for your laser printer.
Includes all updates to the 02/12 version approved by the NUCC (National Uniform Claim Committee)
- Convenient and easy to use!
- 1-part form on 20# white bond stock, printed in OCR red ink.
- Accommodates NPI numbers as mandated by HIPAA.
- Accepted by most health insurance companies.
- Single sheet format works with most laser printers.
- Comes in packs of 500.
- 100% Satisfaction Guarantee ~ Click Here For Details.
- Higher quantities are available at discounted prices.
- Speak to a customer service specialist at 855-5FORMS5 or 855-536-7675. 9AM - 7PM EST Monday - Thursday and 9AM - 5PM EST on Friday.
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$53.16
60150X CMS 1500 Laser Sheet Insurance Claim Form Version 02/12 8 1/2 x 11"
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