5Forms 60151X CMS 1500 Two Part Carbonless Insurance Claim Form 0212 8 1/2 x 11" Qty 250
Sold Out / Out of Stock
5Forms 60151X CMS 1500 Two Part Carbonless Insurance Claim Form 0212 8 1/2 x 11" Qty 250
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