CMS 02/12 Insurance Claim Form, 8 1/2 x 11, 500 Forms

Product ID:

415004

(0)
$21.42 / RM
$20.82 / RM
when buying 4+
Price Quote
when buying in bulk
List Price: $35.37
You Save: -$13.95 (-39%)
Price: $21.42 / RM and get $1.41 back in Rewards
Qty:
  Free Shipping on orders over $ 60
  Estimated delivery time 1-3 business days
  • Expedite Medicare, Medicaid or private insurance claims processing.
  • Forms meet all Federal regulations.
  • Formerly known as HCFA-1500 forms.

Expedite Medicare, Medicaid or private insurance claims processing. Forms meet all Federal regulations. Formerly known as HCFA-1500 forms.

Includes 500 forms.

Specifications

Global Product Type Forms-Insurance
Forms Per Page 1
Paper Color White
Form Quantity 500
Sheet Size 8 1/2 x 11
Form Size 8 1/2 x 11
Paper Stock 20 lb.
Special Features Centers for Medicare and Medicaid Services (CMS) Forms
Sign Up for Special Savings!
Follow Us