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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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$71.50 60151X CMS 1500 Two Part Carbonless Insurance Claim Form 0212 8 1/2 x 11"

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