3 Part Pinfeed Printer CMS 1500 Form. 1000 forms per carton. 1 carton minimum. Ships in 24 - 48 hours.
3 Part NEW CMS 1500 Forms for Pinfeed Printers.Want samples mailed to you?
Click Here.
3 part carbonless (NCR) paper.
Top sheet color: white
Middle sheet color: yellow
Bottom sheet color: pink
OCR scanable paper: top (white) sheet
Black and red ink on all 3 sheets.
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 3 Part CMS 1500 forms.
24 - 48 hour turnaround.
Expedited shipping available.
1000 Forms Per Carton
1 Carton Minimum
