Office

Ub04 Hospital Insurance Claim Form For Laser Printers, One-part (no Copies), 8.5 X 11, 2,500 Forms Total

$166.42

Ub04 Hospital Insurance Claim Form For Laser Printers, One-part (no Copies), 8.5 X 11, 2,500 Forms Total

$166.42

Printed to Government Printing Office standards. OCR ink for scanning. American Medical Association (AMA) approved format.

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Ub04 Hospital Insurance Claim Form For Laser Printers, One-part (no Copies), 8.5 X 11, 2,500 Forms Total

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Cms-1500 Medicare/medicaid Forms For Laser Printers, One-part (no Copies), 8.5 X 11, 500 Forms Total

$35.71

Cms-1500 Medicare/medicaid Forms For Laser Printers, One-part (no Copies), 8.5 X 11, 500 Forms Total

$35.71

Expedite Medicare, Medicaid or private insurance benefits. NUCC, CMS and AMA approved format. (02/12) version. Printed front and back in red OCR ink for scanning.

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Cms-1500 Medicare/medicaid Forms For Laser Printers, One-part (no Copies), 8.5 X 11, 500 Forms Total

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Cms-1500 Health Insurance Claim Form, One-part (no Copies), 8.5 X 11, 1,000 Forms Total

$33.13

Cms-1500 Health Insurance Claim Form, One-part (no Copies), 8.5 X 11, 1,000 Forms Total

$33.13

Meet billing requirements for Medicare Part B. Easy-to-read forms with crisp, clean text help ensure faster claims processing. Paper, layout and ink comply with CMS standards and requirements. Layout includes all 02/12 NUCC revisions and is a direct replacement for the previous 08/05 version. Printed in scannable, OCR "dropout" red...

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Cms-1500 Health Insurance Claim Form, One-part (no Copies), 8.5 X 11, 1,000 Forms Total

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Cms-1500 Health Insurance Claim Form, One-part (no Copies), 8.5 X 11, 250 Forms Total

$19.02

Cms-1500 Health Insurance Claim Form, One-part (no Copies), 8.5 X 11, 250 Forms Total

$19.02

Meet billing requirements for Medicare Part B. Easy-to-read forms with crisp, clean text help ensure faster claims processing. Paper, layout and ink comply with CMS standards and requirements. Layout includes all 02/12 NUCC revisions and is a direct replacement for the previous 08/05 version. Printed in scannable, OCR "dropout" red...

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Cms-1500 Health Insurance Claim Form, One-part (no Copies), 8.5 X 11, 250 Forms Total

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Cms-1500 Medicare/medicaid Forms For Laser Printers, One-part (no Copies), 8.5 X 11, 250 Forms Total

$19.72

Cms-1500 Medicare/medicaid Forms For Laser Printers, One-part (no Copies), 8.5 X 11, 250 Forms Total

$19.72

Expedite Medicare, Medicaid or private insurance benefits. NUCC, CMS and AMA approved format. (02/12) version. Printed front and back in red OCR ink for scanning.

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Cms-1500 Medicare/medicaid Forms For Laser Printers, One-part (no Copies), 8.5 X 11, 250 Forms Total

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Cms Health Insurance Claim Form, Two-part Carbonless, 8.5 X 11, 100 Forms Total

$14.86

Cms Health Insurance Claim Form, Two-part Carbonless, 8.5 X 11, 100 Forms Total

$14.86

CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medicaid or private insurance benefits. OCR red ink for scanning.

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Cms Health Insurance Claim Form, Two-part Carbonless, 8.5 X 11, 100 Forms Total

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