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As low as $55.99/ pack
TFP Data Systems, Health Insurance Claim Form (CMS-1500), 2-Part w/ NPI, 1000 Box
The most widely used business form in America. CMS 1500 forms for private practice and anyone billing within the non-institutional medical industry.
Features
- Accomodates reporting of National Provider Identifier (NPI)
- Designed for processing on high speed OCR scanning equipment
- 2-part continuous form, White/White
- Printed with special "dropout" red ink on 20# paper
- Version 8/05
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Product Specs
Quantity
1000/Box
Description
Private Practice Claim
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