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1 Part Laser Printer CMS 1500 Form. 10 minumum quantity. Ships in 24 hours.
NEW CMS 1500 (08/05) Forms In Packages of 10
For Laser Printers and Inkjet Printers or can be handwritten
Also called the HCFA 1500 form. The CMS 1500 form and the HCFA 1500 form are the same form.
New form has place for NPI number.
APPROVED OMB 0938-0999 FORM CMS-1500 (08/05).
This is the NEW CMS 1500 form or HCFA 1500 from mandated by the U.S. Centers for Medicare and Medicaid Services (CMS) to be in use by April 2, 2007, adding the split provider identifier fields for NPI numbers (this date was extended to Jun 1, 2008).
Product Details
1 part OCR scanable paper.
Black and red ink.
100% compatible with UCCI requirements.
Minimum order is 10 laser compatiible CMS 1500 forms.
These packages are shipped from our Washington location via USPS First Class Mail
No additional shipping charges on this product.
24 hour turnaround.
Select Order Quantity Below
10 CMS 1500 forms - HCFA 1500 forms per package.
Minimum order is 1 package of 10 CMS 1500 forms.
1 pack = 10 CMS 1500 forms
2 packs = 20 CMS 1500 forms
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