CMS-1500 Health Insurance Claim Form, Two-Part Carbonless, 8.5 x 11, 250 Forms Total-(TFPCMS12LC250)
$22.99
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Meet billing requirements for Medicare Part B Easy-to-read forms for faster claims processing Comply with CMS standards and requirements for paper, layout and ink Printed in scannable, dropout OCR red ink Include all 02/12 NUCC revisions, replacing the previous 08/05 version
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