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CMS-1500 Two-Part Continuous Insurance Claim Form 0212

Item#: Size:
Quantity 2000 4000 6000 8000 10000
60154X  2-Parts/Duplicate $297.99 $579.99 $809.99 $1,077.99 $1,347.99
We recommend this quantity.
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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.