60150X, CMS-1500 Insurance Claim Form, Version 02/12 - Laser Sheets

60150X, CMS-1500 Insurance Claim Form, Version 02/12 - Laser Sheets
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CMS-1500 Laser Sheet Insurance Claim Form - Item # 60150X

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$28 - Item # 60150X, CMS-1500 Laser Sheet Insurance Claim Form, Version 02/12
AMA and CMS approved claim form for your laser printer.  Single sheet format, 1-part laser form on 8-1/2" x 11" 20# white bond stock, printed in OCR red ink. Accommodates NPI numbers as mandated by HIPAA. Accepted by most insurance companies.

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