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TFPCMS12LC1by ComplyRight
CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 1,000 Forms Total
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CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 1,000 Forms Total
ComplyRight CMS12LC1: CMS-1500 Health Insurance Claim Form, One-Part No Copies, 8.5 x 11, 1,000 Forms Total
ComplyRight CMS12LC1
TFPCMS12LC1[ companion items ]
List Price: $76.95
Your price$76.95/ CT
Short Description
CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 1,000 Forms Total, by ComplyRight
This item ships FREE and usually arrives in 2 days or less!   [ details ]
Description
ComplyRight CMS12LC1
Meet billing requirements for Medicare Part B. Easy-to-read forms with crisp, clean text help ensure faster claims processing. Paper, layout & ink comply with CMS standards & requirements. Layout includes all 02/12 NUCC revisions & is a direct replacement for the previous 08/05 version. Printed in scannable, OCR “dropout” red ink. Form Type Details: CMS-1500; Dated / Undated: Undated; Forms Per Page: 1; Form Size: 8.5 x 11.
Product Details
ManufacturerComplyRight  [ view manufacturer ]
Item NumberTFPCMS12LC1
Mfg Part NumberCMS12LC1
List Price$76.95
UnitCT
UPS Shippable Yes
Recyclable No
UPC813859024444
UNSPSC0014111806
Country of OriginUS
Shipping Weight11.0 lbs
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TFPCMS12LC1 is located under the following categories

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