Home > Healthcare Claims Forms  > 

60153X, CMS-1500 1 Part Continuous Insurance Claim Form, Version 02/12

60153X, CMS-1500 1 Part Continuous Insurance Claim Form, Version 02/12
Click the image above to enlarge
CMS-1500 Continuous Sheet Insurance Claim Form - Item # 60153X

Price

Your Price: $83.00

Choose Options and Quantity

INS2 - Quantity ? (required) help
SHIPS FREE, $83 - 2.5M | $108 - 5M | $161 - 7.5M | $211 – 10M | $407 - 20M

Item # 60153X, CMS-1500 1 Part Continuous Sheet Insurance Claim Form, Version 0805
AMA and CMS approved claim form for your continuous printer.  Single sheet format, 1-part 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

Recently Viewed Items

Information
Browse By Category