NEW HCFA 1500 - CMS 1500 Forms (08/05) for laser printers - 2500 per carton.
CMS 1500 Forms are sometimes called HCFA 1500 Forms. They are the same form.
New form has place for NPI number.
APPROVED OMB 0938-0999 FORM CMS-1500 (08/05).
Also works in inkjet printers or can be handwritten.
Want samples mailed to you?
Click here to request your CMS 1500 forms sample.
1 part OCR scanable paper.
Black and red ink.
100% compatible with UCCI requirements.
These are the
NEW CMS 1500 forms (HCFA 1500 form) mandated by the U.S. Centers for Medicare and Medicaid Services (CMS) to be in use by
July 1, 2007, adding the
split provider identifier fields for NPI numbers.
Shipping charge is $9.75/ctn to the continental US. Total cost of 1 carton is $34.25, including shipping.
2500 CMS 1500 forms (HCFA 1500 form) per carton.
Minimum order is 2500 CMS 1500 forms.
PRICE COMPARISON:
|
1 Carton of 2500 forms |
5 Cartons of 2500 forms ea (12,500 forms) |
10 cartons |
| Our Price |
$24.50 + 9.75 shipping = $34.25 |
$24.50 + 9.75 shipping = $34.25 ea ($171.50) |
$330.00 |
| Competition |
$24.75 + 9.80 shipping = $34.55 |
$24.75 + 9.80 shipping = $34.55 ea ($172.75) |
$345.50 |
