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The New 2012 CMS 1500 Form is now available from ACS
Fully updated with the mandatory revisions, our new CMS-1500 is 100% compliant and printed to exact specifications in stock, ready to ship, in both laser and continuous formats.

The
ACS CMS-1500 offers some distinct advantages for healthcare customers. It is 100% compliant and printed to exact specifications. It also uses soy-based OCR “dropout” red ink and SFI (Sustainable Forestry Initiative) 20# paper for greater scanning accuracy. As a result, we’re so confident of our CMS-1500 form’s acceptance by insurance carriers that we offer Anti-Rejection Protection.™ *
Our forms are fully compliant and rejection-proof to ensure quicker payment by insurance companies.

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CMS-1500 Laser Part Form (02/12) New 2012 CMS-1500 Insurance Claim Form

FREE SHIPPING / 1 Part Laser 8-1/2” x 11”H / 250 quantity

List Price: $35.00
Your Price: $13.25
You Save $21.75!
CMS-1500 Laser Part Form (02/12) New 2012 CMS-1500 Insurance Claim Form

FREE SHIPPING / 1 Part Laser 8-1/2” x 11”H / 500 quantity

List Price: $45.00
Your Price: $23.00
You Save $22.00!
CMS-1500 Laser Part Form (02/12) New 2012 CMS-1500 Insurance Claim Form

FREE SHIPPING / 1 Part Laser 8-1/2” x 11”H / 1,000 case

List Price: $55.00
Your Price: $36.95
You Save $18.05!
CMS-1500 Laser Part Form (02/12) New 2012 CMS-1500 Insurance Claim Form

1 Part Laser 8-1/2” x 11”H / 2500 quantity

List Price: $85.00
Your Price: $45.00
You Save $40.00!
CMS-1500 2 Part Form (02/12) New 2012 CMS-1500 Insurance Claim Form

2 Part Continuous  9-1/2”W x 11”H /  1000 quantity

List Price: $85.00
Your Price: $45.00
You Save $40.00!
CMS-1500 1 Part Form (02/12) New 2012 CMS-1500 Insurance Claim Form

1 Part Continuous  9-1/2”W x 11”H / 2000 quantity

List Price: $85.00
Your Price: $45.00
You Save $40.00!
CMS-1500 Snap Apart 2 Part Form (02/12) New 2012 CMS-1500 Insurance Claim Form

2 Part Snap Apart 8-1/2”W x 11”H / 1000 quantity

List Price: $105.00
Your Price: $74.00
You Save $31.00!

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CMS-1500 3 Part Form (02/12) New 2012 CMS-1500 Insurance Claim Form

3 Part Continuous  9-1/2”W x 11”H / 1000 quantity

List Price: $120.00
Your Price: $88.00
You Save $32.00!
   
 
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