|
1 Part Laser Printer CMS 1500 Form. 100 minumum quantity. Ships in 24 hours.
NEW CMS 1500 forms (08/05) for laser printers in packages of 100.
Also works in inkjet printers or can be handwritten.
1 part OCR scanable paper.
Black and red ink.
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 100 laser compatiible CMS 1500 forms.
24 hour turnaround.
These packages are shipped from our Washington location.
To determine shipping cost, select number of packages, add to shipping cart, then enter your zip code in the Shipping Calculator box. It will present you with your shipping options in a pop-up window. Expedited shipping available.
|
