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1 Part Laser Printer CMS 1500 Form. 1 set of 10 minimum quantity. Ships within 24 hours.
NEED CMS 1500 FORMS (The New 08/05 version) TO TIDE YOU OVER AT A LOWER EXPENSE?
NEW 1-part CMS 1500 forms (08/05) for laser printers - package of 10 samples overnighted.
Also works in inkjet printers or can be handwritten.
1 part OCR scanable paper.
Black and OCR red ink.
These CMS 1500 forms are 100% compatible with UCCI requirements.
This is the NEW CMS 1500 form 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 has been extended to Jun 1)
Minimum order is 1 pack of 10 laser compatiible CMS 1500 forms.
24 hour turnaround (will ship this order of CMS 1500 forms within 24 hours).
These packages are shipped from our Washington location.
NOTE: This page is for packages of 10 (not 100) CMS 1500 forms - shipped Overnight within 24 hours. Please call if you need them to ship today. Special requests must be made by 12:00 pm PST.
Minimum order is 1 set of 10 CMS 1500 forms.
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