60150X CMS 1500 Laser Sheet Insurance Claim Form 8 1/2 x 11" Qty 500 Gummed flap 50 sheets per pad
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60150X CMS 1500 Laser Sheet Insurance Claim Form 8 1/2 x 11" Qty 500 Gummed flap 50 sheets per pad60150X CMS 1500 Laser Sheet Insurance Claim Form Version 02 12 Size: 8 1 2 x 11"Speed third party billing and manage your cash flow with this AMA and CMS approved claim form for your laser printer. Includes all updates to the 02 12 version approved by the NUCC (National Uniform Claim Committee) Convenient and easy to use! 1 part form on 20# white bond stock, printed in OCR red ink. For padded forms, please see products 60152X Accommodates NPI numbers
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