$48.53CT
Meet billing requirements for Medicare Part B. Easy-to-read forms with crisp, clean text help ensure faster claims processing. Paper, layout and ink comply with CMS standards and requirements. Layout includes all 02/12 NUCC revisions and is a direct replacement for the previous 08/05 version. Printed in scannable, OCR “dropout” red ink. Form Type Details: CMS-1500; Dated: No; Forms Per Page: 1; Form Size: 8.5 x 11.
Quick Find: 174932
Casepack: 1000
UOM: CT
Model #: CMS12LC1
1 in stock
$48.53/each
No Discount
$47.45/each
$48.53
$46.74/each
$48.53
| 1 | 5 | $48.53 | $0.00 | $48.53 |
| 6 | 10 | $47.45 | $1.08 | $48.53 |
| 11 | 50 | $46.74 | $1.79 | $48.53 |
Meet billing requirements for Medicare Part B. Easy-to-read forms with crisp, clean text help ensure faster claims processing. Paper, layout and ink comply with CMS standards and requirements. Layout includes all 02/12 NUCC revisions and is a direct replacement for the previous 08/05 version. Printed in scannable, OCR “dropout” red ink. Form Type Details: CMS-1500; Dated: No; Forms Per Page: 1; Form Size: 8.5 x 11.
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