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60150X CMS 1500 Laser Sheet Insurance Claim Form 8 1/2 x 11

60150X CMS 1500 Laser Sheet Insurance Claim Form 8 1/2 x 11" Qty 500 Gummed flap Sturdy left side pocket

Name: 60150X CMS 1500 Laser Sheet Insurance Claim Form 8 1/2 x 11" Qty 500 Gummed flap Sturdy left side pocket
Brand: jftbasic.com
SKU: 39627737163
Price: 55.78 USD
Availability: InStock
Rating: 4.3168 (5 reviews)

SKU: 39627737163

4.3

USD55.78 USD98.78

Pay in 4 interest-free payments of $13.95 Learn more

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Ships within 48 hours · Estimated delivery Aug 6 - Aug 11

Live Spec

60150X CMS 1500 Laser Sheet Insurance Claim Form 8 1/2 x 11" Qty 500 Gummed flap Sturdy left side pocket60150X CMS 1500 Laser Sheet Insurance Claim Form Version 02 12 Size: 8 1 2 x 11"Speed third party billing and manage your cash flow with this AMA and CMS approved claim form for your laser printer. Includes all updates to the 02 12 version approved by the NUCC (National Uniform Claim Committee) Convenient and easy to use! 1 part form on 20# white bond stock, printed in OCR red ink. For padded forms, please see products 60152X Accommodates NPI numbers

Store: jftbasic.com · Domain: jftbasic.com

Description

Sturdy left side pocket

Manila stock

Multi-purpose: Can be used for 2

50 sheets per pad

so destination and return addresses don't slide out of view

Exchange/Return Notes