60150X CMS 1500 Laser Sheet Insurance Claim Form Version 02/12 8 1/2 x 11" QTY 500
$49.22
60150X CMS 1500 Laser Sheet Insurance Claim Form Version 02/12
Size: 8 1/2 x 11"
Speed third-party billing and manage your cash flow with this AMA and CMS approved claim form for your laser printer.
Includes all updates to the 02/12 version approved by the NUCC (National Uniform Claim Committee)
Size: 8 1/2 x 11"
Speed third-party billing and manage your cash flow with this AMA and CMS approved claim form for your laser printer.
Includes all updates to the 02/12 version approved by the NUCC (National Uniform Claim Committee)
- Convenient and easy to use!
- 1-part form on 20# white bond stock, printed in OCR red ink.
- For padded forms, please see products 60152X
- Accommodates NPI numbers as mandated by HIPAA.
- Accepted by most health insurance companies.
- Single sheet format works with most laser printers.
- 500 per pack.
