Beachley Business & Medical Forms, Inc. :: Health Care Claim Products :: CMS-1500 Forms (New 08/05 version) :: 2 Part Continuous CMS-1500 Form (New 08/05 version)

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1. Laser CMS-1500 Form (New 08/05 version)
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Beachley Business & Medical Forms, Inc. :: Health Care Claim Products :: CMS-1500 Forms (New 08/05 version) :: 2 Part Continuous CMS-1500 Form (New 08/05 version)

2 Part Continuous CMS-1500 Form (New 08/05 version)

NEW CMS-1500 (08/05) Form

9 1/2" x 11" continuous feed for dot matrix printers

2 part, white/canary

Box quantity: 1000

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.

Details

Price: $39.90

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Quantity: 5-9 Items 10+ Items

Price: $34.00 $31.99

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