JiffyPrintOnline.com
Laser CMS Claim Form 02/12<br/> 8 1/2 x 11"
Includes all updates to the 02/12 version approved by the NUCC (National Uniform Claim Committee) Convenient to use: 1-part form on 20# white bond stock, printed in OCR red ink. Industry standard: Accepted by most health insurance companies. Personalized forms add professionalism: help avoid processing errors. Free personalization: Includes imprinted name, address, phone number, and NPI number. Single sheet format: Works with most laser printers. SIZE: 8 1/2 x 11"

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