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HCFA/CMS 1500 Forms
OMB approved, NEW 02/12 version.

Laser and pinfeed styles

SALE! 2,500 laser sheets:  

$39.95

    

 $20 off your online      order of $100 or more.

Limited time offer. Amount deducted prior to charge

$40 off your online order of $200 or more.

Limited time offer. Amount deducted prior to charge

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CMS 1500 Claim Forms (Quantity = 2500) NEW 02/12 Edition

SKU: CFOI $39.95
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.