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60151X CMS 1500 Two Part Carbonless Insurance Claim Form 0212 8 1/2 x 11' Qty 250

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$80.00

$ 37 .99 $37.99

In Stock
  • Convenient and easy to use 2-part form on 20# /15# self-duplicating Printed in OCR red ink Accommodates NPI numbers as mandated by HIPAA Accepted by most health insurance companies 250 Forms Per Package


Speed third-party billing and manage your cash flow with this AMA and CMS approved claim form. Includes all updates in the 02/12 version approved by the NUCC (National Uniform Claim Committee)


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