60152X, CMS-1500 Laser Insurance Claim Form, Version 02/12 - Padded Forms

60152X, CMS-1500 Laser Insurance Claim Form, Version 02/12 - Padded Forms
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Padded CMS-1500 Laser Insurance Claim Form - Item # 60152X

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Item # 60152X, CMS-1500 Laser Insurance Claim Form (padded), Version 02/12
AMA and CMS approved claim form.  Insurance claim laser forms, 100 sheets per pad, single sheet format.  8-1/2" x 11" 1-part laser form on 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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