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60154X CMS 1500 Two Part Continuous Insurance Claim Form 0212 8 1/2 x 11" QTY 2000

60154X CMS 1500 Two Part Continuous Insurance Claim Form 0212 8 1/2 x 11" QTY 2000

$200.81
60154X CMS1500 TwoPart Continuous Insurance Claim Form 0212
Size: 8 1/2 x 11"


Includes all updates to the 02/12 version approved by the NUCC (National Uniform Claim Committee)
Speed third-party billing and manage your cash flow with this AMA and CMS approved claim form for your continuous printer.

  • Convenient and easy to use!
  • 2-part form on 20#/15# self-duplicating stock
  • Printed in OCR red ink.
  • For laser printer forms, please see products 60150X or 60152X
  • Accommodates NPI numbers as mandated by HIPAA.
  • Accepted by most health insurance companies.
  • Continuous printer form speeds processing.
  • 2000 per pack.


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