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60152X, CMS-1500 Laser Insurance Claim Form, Version 02/12 - Padded Forms
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Padded CMS-1500 Laser Insurance Claim Form - Item # 60152X
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Price
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$39.00
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5 Pads of 100 - $39.00
10 Pads of 100 - $49.00
20 Pads of 100 - $88.00
50 Pads of 100 - $211.00
100 Pads of 100 - $413.00
200 Pads of 100 - $699.00
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Description
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SHIPS FREE, $39 - 5 | $49 - 10 | $88 - 20 | $211 - 50 | $413 – 100
Item # 60152X, CMS-1500 Laser Insurance Claim Form (padded), Version 02/12
AMA and CMS approved claim form.
Insurance claim laser forms, 100 sheets per pad, single sheet format. 8-1/2" x 11" 1-part laser form on 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:
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