Quantity |
Price |
500 |
$12.95 |
1,000
|
$21.95 |
2,500 |
$41.95 |
5,000 |
$79.95 |
|
GUARANTEED TO MEET GOVERNMENT PRINTING STANDARDS! 02/12 version approved Claim Forms, which accommodate the use of the National Provider Identifier, as mandated by HIPAA. OCR Red ink for scanning. Size is 8-1/2" x 11". For Laser & Inkjet printers. Compatible envelopes available.1-Part form.
Low everyday Pricing!
Please call for pricing on larger quantities. |