Websites & Marketing
Checks & Business Supplies
Financial Institutions Personal Checks

CMS-1500 Two-Part Carbonless Insurance Claim Form 0212

Item#: Size:
Quantity 1 2 3 4 5
60151X  2-Parts/Duplicate $53.99 $104.99 $152.99 $188.99 $212.99
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.
Includes all updates in the 02/12 version approved by the NUCC (National Uniform Claim Committee)

  • Convenient and easy to use! 2-part carbonless forms on 20#/15# self-duplicating stock, printed in OCR red ink.
  • Accommodates NPI numbers as mandated by HIPAA.
  • Accepted by most health insurance companies.
  • Quantity: Comes in packs of 250.