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60151X, CMS-1500 2-Part Carbonless Insurance Claim Form 02/12

60151X, CMS-1500 2-Part Carbonless Insurance Claim Form 02/12
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CMS-1500 Two-Part Carbonless Insurance Claim Form - Item # 60151X

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Item # 60151X, CMS-1500 Two-Part Carbonless Insurance Claim Form 02/12
AMA and CMS approved claim form.  Two-Part Carbonless Insurance Claim Form, 8-1/2" x 11" 20# white yellow paper stock, printed in OCR red ink. Accommodates NPI numbers as mandated by HIPAA. Accepted by most insurance companies.

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