CMS-1500 Health Insurance Claim Form, One-Part No Copies, 8.5 x 11, 250PK
Mfr # CMS12LC250
Zoro # G715508966
product price:Â $28.15
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Product Information
MFR #
CMS12LC250
Zoro #
G715508966
UPC #
-
Country of Origin
United States
Description
Meet billing requirements for Medicare Part B. Easy-to-read forms with crisp, clean text help ensure faster claims processing. Paper, layout and ink comply with CMS standards and requirements. Layout includes all 02/12 NUCC revisions and is a direct replacement for the previous 08/05 version. Printed in scannable, OCR indropoutin red ink.
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