CMS 1500 – CMS-1500CS-12 WCMS-1500CS-12 Health Insurance Claim Form 500 Pack
USD 14.74 USD
Specifications
| Brand | BuyBlankChecks.com |
| Type | Insurance Claim Forms |
| MPN | CMS1500A |
| Country Of Origin | United States |
| UPC | 691037682644 |
Printed with OCR "dropout" red ink on 20lb. Certified Chain of Custody. Approved by the National Uniform Claim Committee (NUCC). Manufacturer Part Number WMCS-1500CS-12. Material Type Paper. Color White.