$27.39PK
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: 174933
Casepack: 250
UOM: PK
Model #: CMS12LC250
1 in stock
$27.39/each
No Discount
$26.78/each
$27.39
$26.38/each
$27.39
| 1 | 5 | $27.39 | $0.00 | $27.39 |
| 6 | 10 | $26.78 | $0.61 | $27.39 |
| 11 | 50 | $26.38 | $1.01 | $27.39 |
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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