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ComplyRight™ CMS-1500 Health Insurance Claim Form (02/12); 100 Sheets
ComplyRight™ CMS-1500 Health Insurance Claim Form (02/12); 100 Sheets
$6.99
Per pack

  1. Paper
  2. Forms & Recordkeeping
  3. Forms & Recordkeeping
  4. Medical Forms

ComplyRight™ CMS-1500 Health Insurance Claim Form (02/12); 100 Sheets

Order ComplyRight™ CMS-1500 Health Insurance Claim Form (02/12); 100 Sheets today at Quill.com and get fast shipping. Stack coupons to get free gifts & extra discounts!
Item #: 901-CMS12650657
Model #: 650657
Brand: ComplyRight
(10 reviews)
Item #: 901-CMS12650657
ComplyRight™ CMS-1500 Health Insurance Claim Form (02/12); 100 Sheets
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$6.99
Per pack
1 PAD = 1 PACK

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Ship to: 60069
Delivery Tomorrow, Mar 29
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Customers also viewed

  • Designed for filing Medicare part B claims as well as claims to commercial insurance companies
  • Includes the newest NUCC revisions
  • Printed in red, scannable, OCR ink
  • Guaranteed to comply with all government standards for paper, ink and layout.
  • 8-1/2" x 11"
  • For laser or inkjet printers
  • 100 sheets
Brand
ComplyRight
Form Size
8 1/2" x 11"
Length in Inches
11
Medical Form Pack Size
100
Medical Form Type
Health Insurance Claims
Print Type
Inkjet/Laser
Series or Collection
Cms-1500
Width in Inches
8.5

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