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60150X CMS 1500 Laser Sheet Insurance Claim Form Version 02/12 8 1/2 x 11"

Manufacturer: NEBS
Manufacturer Part No: 60150X
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)

  • 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.
  • Comes in packs of 500.
  • 100% Satisfaction Guarantee.
  • Higher quantities are available at discounted prices.
  • Speak to a customer service specialist at 855-5FORMS5 or 855-536-7675. 8AM - 7PM EST Monday - Thursday and 8AM - 5PM EST on Friday.


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$31.08 60150X CMS 1500 Laser Sheet Insurance Claim Form Version 02/12 8 1/2 x 11"

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