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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

CMS 1500 Claim Forms
-1 part OCR scanable form
-100% compatible with UCCI requirements
-Also known as HCFA 1500 forms
-Mandated by the US Centers for Medicare and Medicaid Services, adding the split provider identifier fields for NPI numbers
-Please call for larger quantity pricing and pin-feed versions.
For easy ordering choose a quantity below. We promise prompt delivery.
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CMS 1500 Claim Forms (Quantity = 1000) NEW 02/12 Edition

CMS 1500 Claim Forms (Quantity = 1000) NEW 02/12 Edition

Available from six (6) US warehouses for prompt delivery. Cut sheet forms for laser, inkjet or manual processing.100% satisfaction guarantee.
$21.95
CMS 1500 Claim Forms (Quantity = 2500) NEW 02/12 Edition

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

Available from six (6) US warehouses for prompt delivery. Cut sheet forms for laser, inkjet or manual processing. 100% satisfaction guarantee.
$39.95
CMS 1500 Claim Forms (Quantity = 5000) NEW 02/12 Edition

CMS 1500 Claim Forms (Quantity = 5000) NEW 02/12 Edition

Available from six (6) US warehouses for prompt delivery. Cut sheet forms for laser, inkjet or manual processing. -100% satisfaction guarantee.
$69.95
CMS 1500 Claim Forms (Quantity = 500) NEW 02/12 Edition

CMS 1500 Claim Forms (Quantity = 500) NEW 02/12 Edition

Available from six (6) US warehouses for prompt delivery. Cut sheet forms for laser, inkjet or manual processing. -100% satisfaction guarantee.
$12.95
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