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  Home > MEDICAL > Medical Forms and Books > Medical Claim (CMS, UB-04,ADA) > CMS 1500 Claim Forms >

  CMS 1500 Continuous 1 Part
  CMS 1500 Continuous 1 Part
 
Our Price: $42.00
Sale Price: $36.00
You save $6.00!

Unit Qty: 2500

Product Code: CMS1-1500
Qty:

Description
 
New Laser CMS-1500 (08/05) Form
9-1/2”W x 11”H for continuous printers and is a one part form.
Printed in red, OCR scannable ink in compliance with government standards

The new CMS-1500 (08/05) Health Insurance Claim Form, often referred to as the HCFA-1500, now accommodates the reporting of the National Provider Identifier. This new version replaces the old HCFA 12/90 version.

Barcoding is no longer a part of this form.
Features
  • 9-1/2”W x 11”H

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