1 Part Pinfeed Printer CMS 1500 Form. 2500 per carton. 1 carton minumum. Ships in 24 hours.
1 Part NEW CMS 1500 Forms (08/05) for Pinfeed Printers. Want samples mailed to you?
Click Here.
White Pinfeed 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, extended to tentatively July 1st, adding the
split provider identifier fields for NPI numbers.
Minmum order is 2500 1 Part CMS 1500 forms.
24 hour turnaround.
Expedited shipping available.
2500 Forms Per Carton
1 Carton Minimum
