Beachley Business & Medical Forms, Inc. :: Health Care Claim Products :: CMS-1500 Forms (New 08/05 version)

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Beachley Business & Medical Forms, Inc. :: Health Care Claim Products :: CMS-1500 Forms (New 08/05 version) :: Laser CMS-1500 Form (New 08/05 version)

Laser CMS-1500 Form (New 08/05 version)

NEW Laser CMS-1500 (08/05) Form

8 1/2" x 11" for laser or inkjet printers

Box quantity: 2500

Printed in red, OCR scannable ink in complaince with government standards

The new CMS-1500 (08/05) Health Insurance Claim Form, often referred to as the HCFA-1500, now accomodates the reporting of the National Provider Identifier. This new version replaces the old HCFA 12/90 version.

Barcoding is no longer a part of this form.

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Price: $36.75

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Quantity: 5-9 Items 10-19 Items 20+ Items

Price: $34.25 $29.75 $28.95

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