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1 Part Laser Printer CMS 1500 Form. 100 minumum quantity. Ships in 24 hours.
NEW CMS 1500 (08/05) Forms In Packages of 100
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 100 laser compatiible CMS 1500 forms.
Packaged in packs of 100, but we reserve the right to ship in packages of 500 for quantities of 500 or more. Please contact customer service if you have special packaging requirements.
24 hour turnaround.
About Shipping CostsTo determine shipping costs, you can go through the shopping cart. Once your address information is collected, we will present you with your shipping options before we ask for your payment information. If you don't want to enter in your information, please send us an email with the number of packages you are interested in and the zip code you will be shipping to and we will be happy to provide you with a shipping rate. Email: customercare@justcms1500forms.com
Select Order Quantity Below
100 CMS 1500 forms - HCFA 1500 forms per package.
Minimum order is 1 package of 100 CMS 1500 forms.
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