null
CMS-1500 Two-Part Continuous Insurance Claim Form 0212

CMS-1500 Two-Part Continuous Insurance Claim Form 0212, 8 1/2 x 11"

No reviews yet Write a Review
$252.45
SKU:
JDF-60154X-2000
Shipping:
Free Shipping
In Stock & Ready To Ship!
Current Stock:Only left:
Ask Questions

Frequently Bought Together:

Total: Inc. Tax
Total: Ex. Tax

Description

Speed third-party billing and manage your cash flow with this AMA and CMS approved claim form for your continuous printer. Includes all updates to the 02/12 version approved by the NUCC (National Uniform Claim Committee) Accepted by most health insurance companies. Convenient and easy to use! 2-part, clean carbonless forms on 20#/15# self-duplicating stock, printed in OCR red ink. Continuous printer form speeds processing. Accommodates NPI numbers as mandated by HIPAA. SIZE: 8 1/2 x 11"

Product Reviews

No reviews yet Write a Review

Delivery & Returns

Related Products

CMS-1500 Two-Part Carbonless Insurance Claim Form 0212
Sale
Quick view
Sale

CMS-1500 Two-Part Carbonless Insurance Claim Form 0212, 8 1/2 x 11"

JDF-60151X
$110.00
$93.50
Includes all updates to the 02/12 version approved by the NUCC (National Uniform Claim Committee) Speed third-party billing and manage your cash flow with this AMA and CMS approved claim form. Comes...
Options
CMS-1500 One-Part Continuous Insurance Claim Form 0212
Sale
Quick view
Sale

CMS-1500 One-Part Continuous Insurance Claim Form 0212, 8 1/2 x 11"

JDF-60153X
$189.00
$160.65
Speed third-party billing and manage your cash flow with this AMA and CMS approved claim form for your continuous printer. Includes all updates to the 02/12 version approved by the NUCC (National...
Options
CMS-1500 Laser Sheet Insurance Claim Form, Version 02/12
Sale
Quick view
Sale

CMS-1500 Laser Sheet Insurance Claim Form, Version 02/12, 8 1/2 x 11"

JDF-60150X
$73.00
$62.05
Includes all updates to the 02/12 version approved by the NUCC (National Uniform Claim Committee) Speed third-party billing and manage your cash flow with this AMA and CMS approved claim form for...
Options
Padded CMS Claim Form
Sale
Quick view
Sale

Padded CMS Claim Form, 8 1/2 x 11"

JDF-60164
$132.00
$112.20
Speed third-party billing and manage your cash flow with AMA and CMS approved, updated claim forms in a convenient, personalized laser pad format. Includes all updates to the 02/12 version approved...
Options
CMS 2 Pt Padded Claim Form
Sale
Quick view
Sale

CMS 2 Pt Padded Claim Form, 8 1/2 x 11"

JDF-60163
$101.00
$85.85
Includes all updates to the 02/12 version approved by the NUCC (National Uniform Claim Committee) Speed third-party billing and manage your cash flow with AMA and CMS approved personalized 2 part...
Options