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60151X CMS 1500 Two Part Carbonless Insurance Claim Form 0212 8 1/2 x 11"
Manufacturer: NEBS
Manufacturer Part No: 60151X
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.
- 250 Forms Per Package.
- Accommodates NPI numbers as mandated by HIPAA.
- Accepted by most health insurance companies.
- 100% Satisfaction Guarantee.
- Higher quantities are available at discounted prices.
- Speak to a customer service specialist at 855-5FORMS5 or 855-536-7675. 9AM - 7PM EST Monday - Thursday and 9AM - 5PM EST on Friday.
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Starting at $71.50
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$71.50
60151X CMS 1500 Two Part Carbonless Insurance Claim Form 0212 8 1/2 x 11"
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5FORMS to 22828
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