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60151X CMS 1500 Two Part Carbonless Insurance Claim Form 0212 8 1/2 x 11" Qty 250

KWD 31.500
All electronics ship with US style plugs. You may need a voltage converter or a plug adapter.
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Special Features

  • Convenient and easy to use 2-part form on 20# /15# self-duplicating Printed in OCR red ink Accommodates NPI numbers as mandated by HIPAA Accepted by most health insurance companies 250 Forms Per Package

Description

Speed third-party billing and manage your cash flow with this AMA and CMS approved claim form. Includes all updates in the 02/12 version approved by the NUCC (National Uniform Claim Committee)

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