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1 Part Laser Printer CMS 1500 Form. 2500 minimum quantity. Ships in 24 hours.
NEW CMS 1500 Forms (08/05) for laser printers - 2500 per carton. 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 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 $8.00/ctn to the continental US. Total cost of 1 carton is $36.00, including shipping.
2500 cms 1500 forms per carton. Minimum order is 2500 CMS 1500 forms.
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