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Insurance Claim Forms

NEW CMS 1500 Claim Forms - HCFA (Version 02/12) 100 per Ream

R 1,004

or 4 x payments of R251.00 with Payflex

Payflex

Availability: Currently in Stock

Delivery: 10-20 working days

This item may be available in a different size, colour, scent, version or platform:

Variations

NEW CMS 1500 Claim Forms - HCFA (Version 02/12) 100 per Ream
- Size: 8 1/2 x 11 - 100 sheets per pack
- Most recent update (02/12)
- Strict compliance with NUCC and CMS regulations
- See below for complete product details
CMS-1500 Laser Printer Medical Claims Form Item Number 1500NC This form accommodates the reporting of the National Provider Identifier (NPI). Printed in red ink on special bond paper in strict compliance with NUCC and CMS regulations and specifications. These claim forms (formerly HCFA-1500) are used to submit health insurance claims for services provided by health care professionals to Medicare and Medicaid, insurance companies or clearinghouses for processing. Printed in red ink on special bond paper in strict compliance with government regulations and specifications. Available in both laser and pin-fed continuous formats Size: 8 1/2 x 11 Red Ink Most recent update (02/12)
Country USA
Brand EGPChecks
Manufacturer EGPChecks
Binding Office Product
ItemPartNumber 1500-100
Model 1500-100
Size 1 Pack
ReleaseDate 0000-00-00

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