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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| Quantity | 500, 1000, 2000, 5000, 10000, 20000, 30000, 160000, 200000 |
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