|
HOME
|
ABOUT US
|
POLICIES
|
CONTACT US
|
LOGIN or Create Account
|
VIEW CART
Search
Go
Home
>
Healthcare Claims Forms
>
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
Price
Your Price:
$30.00
Choose Options and Quantity
INS15 - Quantity ?
(required)
INS15 - Quantity ?
500 - $30.00
1000 - $47.00
1500 - $64.00
2000 - $82.00
2500 - $101.00
5000 - $206.00
7500 - $305.00
10000 - $404.00
15000 - $604.00
20000 - $785.00
25000 - $982.00
30000 - $1,176.00
50000 - $1,862.00
62500 - $2,328.00
75000 - $2,723.00
100000 - $3,303.00
160000 - $4,547.00
1
Continue Here
Description
Customer Reviews
SHIPS FREE, $30 - 500 | $47 - 1000 | $64 - 1500 | $82 - 2000
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.
IN-STOCK READY TO SHIP
Production times:
These are located on the left navigation under MORE INFORMATION.
Return
to Top of Page
Email this page to a friend
Recently Viewed Items
Information
Browse By Category
Browse by Price
[title]
New Releases
Top Sellers