60151X CMS 1500 Two Part Carbonless Insurance Claim Form 0212 8 1/2 x 11" QTY 250
$74.16
60151X CMS 1500 Two Part Carbonless Insurance Claim Form 0212
Size: 8 1/2 x 11"
Speed third-party billing and manage your cash flow with this AMA and CMS approved claim form.
Includes all updates in 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.
Includes all updates in the 02/12 version approved by the NUCC (National Uniform Claim Committee)
- Convenient and easy to use!
- 2-part form on 20# /15# self-duplicating
- Printed in OCR red ink.
- Accommodates NPI numbers as mandated by HIPAA.
- Accepted by most health insurance companies.
- 250 per pack.
