Home > Healthcare Claims Forms  > 

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

60151X, CMS-1500 2-Part Carbonless Insurance Claim Form 02/12
Click the image above to enlarge
CMS-1500 Two-Part Carbonless Insurance Claim Form - Item # 60151X

Price

Your Price: $46.00

Choose Options and Quantity

INS6 - Quantity ? (required) help
SHIPS FREE, $46 - 1 = 250 | $54 - 2 = 500 | $78 - 3 = 750 | $156 - 6 = 1000

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.

IN-STOCK READY TO SHIP

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

Return to Top of Page

Recently Viewed Items

Information
Browse By Category