9-1/2 x11" CMS 1500 2 Part White Continuous
9-1/2 x11" CMS 1500 2 Part White Continuous
9-1/2 x11" CMS 1500 2 Part White Continuous
  • CM21

9-1/2 x11" CMS 1500 2 Part White Continuous

$136.40 USD $136.40 USD $0.00 USD

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Description

9-1/2 x11" CMS 1500 2 Part White Continuous


  • Pack of 1000 Sheets - New Health Insurance Claim Forms, 2012 Approved Version
  • 2-Part 8-1/2" X 11" Laser Form CMS-1500, Printed in Red Ink
  • Required for Healthcare Providers to Bill Patients' Insurance Companies for Reimbursement
  • Latest HCFA / CMS 1500 Claim Form (Approved OMB-0938-1197)
  • Made in the USA by Next Day Labels TM - 100% Guaranteed
 

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