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Bi-Rite Global

CMS-1500 Health Insurance Claim Form, Two-Part Carbonless, 8.5 x 11, 250 Forms Total-(TFPCMS12LC250)

CMS-1500 Health Insurance Claim Form, Two-Part Carbonless, 8.5 x 11, 250 Forms Total-(TFPCMS12LC250)

Sale Sold out
  • Meet billing requirements for Medicare Part B
  • Easy-to-read forms for faster claims processing
  • Comply with CMS standards and requirements for paper, layout and ink
  • Printed in scannable, dropout OCR red ink
  • Include all 02/12 NUCC revisions, replacing the previous 08/05 version
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