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60151X CMS 1500 Two Part Carbonless Insurance Claim Form 0212 8 1/2 x 11" QTY 250

60151X CMS 1500 Two Part Carbonless Insurance Claim Form 0212 8 1/2 x 11" QTY 250

$49.56
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)
  • 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.