-40%

NEW CMS 1500 Claim Forms - HCFA (Version 02/12) 100 per Ream

$ 6.79

Availability: 30 in stock
  • Restocking Fee: 20%
  • MPN: HCFA1500-100
  • Return shipping will be paid by: Buyer
  • All returns accepted: Returns Accepted
  • Refund will be given as: Money Back
  • Item must be returned within: 30 Days
  • Brand: Next Day Labels
  • Condition: New

    Description

    NEW CMS 1500 Claim Forms - HCFA (Version 02/12) 100 per Ream
    1-Part 8-1/2" X 11" Laser Form CMS-1500 printed in red ink
    Required for health-care providers to bill a patient's insurance company for reimbursement.
    New Version 02/12 (APPROVED OMB-0938-1197)
    Medicare now accept this Version 02/12 only.
    For Laser and Inkjet Printers, Made in USA