CMS-1500 Two-Part Continuous Insurance Claim Form 0212

Item#: 60154X Size: 8 1/2 x 11"
Quantity 2000 4000 6000 8000 10000
60154X  2-Parts/Duplicate $354.99 $689.99 $962.99 $1,281.99 $1,601.99
We recommend this 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!

    2-part, clean 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.
  • Continuous printer form

    speeds processing.