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