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1 Part - NEW CMS 1500 Forms (08/05) With Pressure Sensitive Label for Pinfeed Printers

1 Part NEW CMS 1500 Forms (08/05) With Pressure Sensitive Label For Pinfeed Printers: 1000 per Carton
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Name: 1 Part NEW CMS 1500 Forms (08/05) With Pressure Sensitive Label For Pinfeed Printers: 1000 per Carton
Your Price:
From $60.95 to $70.00 per carton
Serial Number: L0249



1 Part Pinfeed Printer CMS 1500 Form. 1000 per carton. 1 carton minimum. Ships in 24 hours.

1 Part NEW CMS 1500 Forms (08/05) With Pressure Sensitive Label for Pinfeed Printers.
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, adding the split provider identifier fields for NPI numbers.
Minimum order is 1000 1 Part CMS 1500 forms.
24 hour turnaround.
Expedited shipping available.

1000 Forms Per Carton
1 Carton Minimum
Bulk Pricing:
Min Qty Price Per Unit
1 $70.00
3 $65.95
7 $63.75
10 $62.25
12 $60.95
70 $53.50
Quantity To Order:
 

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