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TFPCMS12LC250by ComplyRight CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 250 Forms Total Click image to close CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 250 Forms Total | ![Click to view large image ComplyRight CMS12LC250: CMS-1500 Health Insurance Claim Form, One-Part No Copies, 8.5 x 11, 250 Forms Total](//images.officeworld.com/products/240/658172.JPG)
| ComplyRight CMS12LC250 TFPCMS12LC250[ companion items ]
List Price: $43.53 | Short Description CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 250 Forms Total, by ComplyRight |
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Most orders over $49 ship FREE and arrive in 2 days or less! [ details ]Description ComplyRight CMS12LC250 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 Manufacturer | ComplyRight [ view manufacturer ] | Item Number | TFPCMS12LC250 | Mfg Part Number | CMS12LC250 | List Price | $43.53 | Unit | PK | UPS Shippable |
Yes
| Recyclable |
No
| UPC | 758399422254 | UNSPSC | 0014111806 | Country of Origin | US | Shipping Weight | 2.6 lbs | Catalog Page |
online only
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