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CMS-1500 Claim Forms (Laser)

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Item C-15

Availability: In stock.

Count Price Qty

CMS-1500 (HCFA) Claim Forms New Version (08/05) Laser 125 Count

Price

$14.95

CMS-1500 (HCFA) Claim Forms New Version (08/05) Laser 500 Count

Price

$24.95

CMS-1500 (HCFA) Claim Forms New Version (08/05) Laser 2500 Count

Price

$79.95

CMS-1500 (HCFA) Claim Forms New Version (08/05) Laser 5000 Count

Price

$139.95

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Blank CMS 1500 (HCFA 1500) Paper Claim Forms - Laser Format

Current CMS 1500 (HCFA 1500) Health Insurance Claim Form APPROVED OMB-0938-0999 CMS-1500 (08-05) NUCC revised the Form CMS-1500.

The new 08/05 version of the CMS-1500 forms was revised by the NUCC effective June 29, 2007 and replaced the CMS-1500 12/90 version. The CMS1500 Form is the standard paper claim form used by a non-institutional provider or supplier to bill Medicare, durable medical equipment contractors, and private health insurance.

All CMS 1500 Claim Forms Ship via FREE Ground Shipping (delivery in 2-5 business days).

 

All Claim Forms Ship via FREE Ground Shipping (delivery in 2-5 business days).

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