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5Forms 60151X CMS 1500 Two Part Carbonless Insurance Claim Form 0212 8 1/2 x 11" Qty 250

R 2,764

or 4 x payments of R691.00 with Payflex

Availability: Currently in Stock

Delivery: 10-20 working days

5Forms 60151X CMS 1500 Two Part Carbonless Insurance Claim Form 0212 8 1/2 x 11" Qty 250
- Convenient and easy to use 2-part form on 20# /15# self-duplicating Printed in OCR red ink Accommodates NPI numbers as mandated by HIPAA Accepted by most health insurance companies 250 Forms Per Package
Country USA
Brand 5Forms
Manufacturer NEBS
Binding Office Product
ItemPartNumber 60151X
Model 60151X
Warranty 90 Days
Color Multi
ReleaseDate 0000-00-00

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