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Insurance Claim Forms

TFP ComplyRight 2-Part Continuous CMS-1500 Health Insurance Claim Form (02/12), 1000/Box (CMS122)

R 4,401

or 4 x payments of R1,100.25 with Payflex

Payflex

Availability: Currently in Stock

Delivery: 10-20 working days

This item may be available in a different size, colour, scent, version or platform:

Variations

TFP ComplyRight 2-Part Continuous CMS-1500 Health Insurance Claim Form (02/12), 1000/Box (CMS122)
- Sold as 1000/Box.
- 8 1/2" x 11".
- 20 lb..
- White.
- Printed with OCR "dropout" red ink per government regulations. Pin fed. 1,000 per case. Carbonless. NPI Compliance Guaranteed.
Satisfy recordkeeping requirements with cms-1500 Health insurance claim forms. Per Federal regulations, all healthcare providers must use the cms-1500 form for specific types of billing. The cms-1500 accommodates reporting of the National provider identifier, which must be used by all HIPAA-Covered entities. The form is printed with OCR "Dropout" Red ink on 20# paper, as per government regulations. Continuous format, 2-part 1,000 per case printed with OCR "Dropout" Red ink on 201# paper, as per government regulations
Country USA
Brand ComplyRight
Manufacturer ComplyRight
Binding Office Product
ItemPartNumber CMS122
Model CMS122
Color White & Canary
Size 122 Count
UnitCount 1
ReleaseDate 0000-00-00

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