NEW CMS 1500 Claim Forms (08/05) 2-Part Forms For Hand Written Claims - Cartons of 500

NEW CMS 1500 forms for hand written claims.
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2 part carbonless (NCR) paper.
Top sheet color: white
Bottom sheet color: yellow
OCR scanable paper.
Black and red ink.
100% compatible with UCCI requirements.
This is the NEW CMS 1500 (08/05) form mandated by the U.S. Centers for Medicare and Medicaid Services (CMS) to be in use by April 2, 2007, extended tentatively to July 1, adding the split provider identifier fields for NPI numbers.
Minimum order is 500 CMS 1500 forms.
24 hour turnaround.
Shipping charge is $6.00/ctn to the continental US. Expedited shipping available.

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500 per carton.
1 carton minimum order.