Home > Healthcare Claims Forms  > 

60150X, CMS-1500 Insurance Laser Claim Form 1 Part Ver. 02/12 - Size: 8-1/2" x 11"

60150X, CMS-1500 Insurance Laser Claim Form 1 Part Ver. 02/12 - Size: 8-1/2" x 11"
Click the image above to enlarge
CMS-1500 Laser Sheet Insurance Claim Form - Item # 60150X

Price

Your Price: $92.00

Choose Options and Quantity

INS-10 - Quantity ? (required) help
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.

Production times:
These are located on the left navigation under MORE INFORMATION. 

Return to Top of Page

Recently Viewed Items

Information
Browse By Category
Logo