60150X CMS 1500 Laser Sheet Insurance Claim Form Version 02/12 8 1/2 x 11″ QTY 5

60150X CMS 1500 Laser Sheet Insurance Claim Form Version 02/12 8 1/2 x 11″ QTY 5

USD 58.48 USD
SKU: luiqZ4Dm
Brand: 5Forms
MPN: 60150X
GTIN: Does not apply
Condition: New
Tags: 1 sheet 5Forms 60150X
Categories: Office Supplies

Specifications

Brand5Forms
MPN60150X

Speed third-party billing and manage your cash flow with this AMA and CMS approved claim form for your laser printer. Single sheet format works with most laser printers. Includes all updates to the 02/12 version approved by the NUCC (National Uniform Claim Committee).

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