2 Part Pinfeed Printer CMS 1500 Form. 1000 minimum quantity. Ships in 24 hours.
2 Part NEW CMS 1500 Forms (08/05) for Pinfeed Printers. Want samples mailed to you?
Click Here.
2 part carbonless (NCR) paper.
Top sheet color: white
Second sheet color: yellow
OCR scanable paper: top (white) sheet
Black and red ink on both sheets.
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.
Minmum order is 1000 2 Part CMS 1500 forms.
24 hour turnaround.
Expedited shipping available. *Item currenlty on back order. More supplies available 1/18/08. We do have the white/white stock available now,
click here to see this product.
1000 Forms Per Carton
1 Carton Minimum
