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NEW CMS 1500 Claim Forms - 500 Sheets (02/12 Version) for Laser or Inkjet Printers


Huge Savings Item! Save 11% on the NEW CMS 1500 Claim Forms - 500 Sheets (02/12 Version) for Laser or Inkjet Printers by Jaxplaza at Medical Service. MPN: 1. Hurry! Limited time offer. Offer valid only while supplies last. Item Number 1500NC This form accommodates the reporting of the National Provider Identifier (NPI). Printed in red ink on special bond paper in strict


Product Description

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)

Features & Highlights

  • Version is most current approved version
  • Strict compliance with NUCC and CMS regulations and specifications.

Additional Information

Manufacturer:Jaxplaza
Color:White/Red
Model:DNT-14457
Part Number:1
Publisher:Jaxplaza
Studio:Jaxplaza
MPN:1
Package Weight:5.2 pounds
Package Size:8.5 x 2.1 x 2.1 inches

NEW CMS 1500 Claim Forms - 500 Sheets (02/12 Version) for Laser or Inkjet Printers by Jaxplaza

Buy Now:
NEW CMS 1500 Claim Forms - 500 Sheets (02/12 Version) for Laser or Inkjet Printers

Brand: Jaxplaza
4.2 out of 5 stars with 46 reviews
Condition: New
Lead Time: 1 - 2 Business Days
Availability: In Stock
$18.00
$16.08
You Save: 11%


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