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CMS-1500 One-Part Continuous Insurance Claim Form 0212

Item#: Size:
Quantity 2500 5000 7500 10000 12500
60153X  1-Part/Original $172.99 $227.99 $341.99 $457.99 $569.99
We recommend this quantity.
1.  Quantity

Benefits and Features

Speed third-party billing and manage your cash flow with this AMA and CMS approved claim form for your continuous printer.
Includes all updates in the 02/12 version approved by the NUCC (National Uniform Claim Committee)

  • Convenient and easy to use! 1-part form on 20# white bond stock, printed in OCR red ink.
  • Accommodates NPI numbers as mandated by HIPAA.
  • Accepted by most health insurance companies
  • Continuous printer form speeds processing.