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TFP650657by ComplyRight CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 100 Forms Total Click image to close CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 100 Forms Total | 
| ComplyRight 650657 TFP650657[ companion items ]
List Price: $9.18 | | Short Description CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 100 Forms Total, by ComplyRight |
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Most orders over $49 ship FREE and arrive in 2 days or less! [ details ]Description ComplyRight 650657 Meet billing requirements for Medicare Part B. Easy-to-read forms with crisp, clean text help ensure faster claims processing. Paper, layout & ink comply with CMS standards & requirements. Layout includes all 02/12 NUCC revisions & is a direct replacement for the previous 08/05 version. Printed in scannable, OCR “dropout” red ink. Form Type Details: CMS-1500; Dated / Undated: Undated; Forms Per Page: 1; Form Size: 8.5 x 11. Product Details | Manufacturer | ComplyRight [ view manufacturer ] | | Item Number | TFP650657 | | Mfg Part Number | 650657 | | List Price | $9.18 | | Unit | PK | | UPS Shippable |
Yes
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No
| | UPC | 015171105096 | | UNSPSC | 0014111806 | | Country of Origin | US | | Shipping Weight | 1.1 lbs | | Catalog Page |
online only
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TFP650657 is located under the following categories
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