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    Healthcare Forms - CMS/HCFA 1500 Claim Form

     

    CMS/HCFA 1500 Claim Forms.

    CMS/HCFA 1500 Claim Form

     

    Speed up third-party billing and manager your cash flow with these HCFA/CMS 1500 forms (Health Care Financing Administration/Center for Medicare and Medicaid Services) using your laser printer. Printed with OCR 'droupout' red ink on 20 lb. paper per government regulations. Accomodates NPI numbers as mandated by HIPAA compliance regulations. Includes all updates to the 02/12 version approved by the NUCC (National Uniform Claim Committee).

     

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    Healthcare Forms - CMS/HCFA 1500 Claim Form

     

  • Item No. 14540
  • CMS/HCFA 1500 Claim Form
  • Color: White / Red
  • Size: 8-1/2"W x 11"H
  • 500/Pack
    • Healthcare Claim Form.

    Shipping require additional quotation. Please contact us at 1-888-891-1970 or email at sales@filingtoday.com for a quote or additional information.

     

     

     

    Item No. Description Color Size Qty Price
    14540 CMS/HCFA 1500 Claim Form White/Red 8-1/2"W x 11"H 500/Pk $24.95

    Faxable Order Form (PDF).   On-Line Order Form.   

     

    Please note all our products may not be published on our website, prices may vary time to time and some items may be discontinued or replaced so we kindly request you to send us an email at sales@filingtoday.com or call us at 1-888-891-1970 for more details

     
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    Minimum Orders:
    Effective June 1, 2013, our minimum order is $50.00. A $10.00 charge will apply on any product order of less than our minimum order amount. All orders are subject to a minimum shipping/handling charge of $15.95. All verbal / faxed / or emailed orders will be processed within 24-48 hours. Once you have placed your order via fax, email or telephone, you will receive an order acknowledgement via email or fax to confirm receipt of your order, including any estimated shipping/delivery charge if requested. You may call or email us in advance for the estimated charges. Click here for a faxable order form to place an order or to obtain a quote.

    Prices & Specifications Subject To Change Without Notice. Terms & Conditions Apply.
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