Office Products > Forms, Recordkeeping & Money Handling > Human Resources Forms > Insurance Claim Forms
5Forms 60150X CMS 1500 Laser Sheet Insurance Claim Form Version 02/12 8 1/2 x 11" Qty 500
Product ID: B0D9HYPCD8
Condition: New
$ 248
includes Duties & VAT
Delivery: 10-20 working days
Ships from USA warehouse.
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Product Description
5Forms 60150X CMS 1500 Laser Sheet Insurance Claim Form Version 02/12 8 1/2 x 11" Qty 500
- Convenient and easy to use Accommodates NPI numbers as mandated by HIPAA Accepted by most health insurance companies Single sheet format works with most laser printers
Technical Specifications
Country
USA
Brand
5Forms
Manufacturer
NEBS
PartNumber
60150X
Model
60150X
Warranty
90 Days
Size
8 1/2 x 11"
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