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CMS-1500 Laser Sheet Insurance Claim Form, Version 02/12 (60150X)

Sku: 60150X

Description

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)

Specifications

Product Details
  • Size: 8 1/2" x 11"
  • Convenient and easy to use! 1-part form on 20# white bond stock, printed in OCR red ink.
  • Accommodates NPI numbers as mandated by HIPAA.
  • Accepted by most health insurance companies.
  • Single sheet format works with most laser printers.
  • Quantity: Comes in packs of 500.
Min. Quantity 500
Turnaround Time:
Product # Turnaround
60150X 2 business day(s)