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"
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CMS-1500 Laser Sheet Insurance Claim Form - Item # 60150X

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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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