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60154X, CMS-1500 2 Part Carbonless Continuous Insurance Claim Form, Version 02/12

60154X, CMS-1500 2 Part Carbonless Continuous Insurance Claim Form, Version 02/12
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CMS-1500 2 Part Insurance Claim Form - Item # 60154X

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Your Price: $128.00

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SHIPS FREE, $128 - 2M | $253 - 4M | $317 – 5M | $378 - 6M | $611 - 10M

Item 60154X, CMS-1500 2 Part Continuous Insurance Claim Form, Version 02/12
AMA and CMS approved claim form for your continuous printer.  Single sheet format, 2-part form on 8-1/2" x 11" 20lb white, 15lb yellow paper stock, printed in OCR red ink. Accommodates NPI numbers as mandated by HIPAA. Accepted by most insurance companies.

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