Shopping Cart

0 item(s) in cart/ total: $0    view cart
Home > Claim Forms CMS/UB04/ADA  >  CMS-1500 Form (New 02/12 version), 1 Part Continuous, 2500/box
CMS-1500 Form (New 02/12 version), 1 Part Continuous, 2500/box
Laser CMS-1500 Form (New 02/12 version)

CMS-1500 Form (New 02/12 version), 1 Part Continuous, 2500/box

 | Questions about this item? Be the first to ask here.
Your Price:$39.95
In Stock.
Part Number:WEB-WCMS-1500-112
Quantity Pricing
Quantity
Price
  • 5 - 9
  • $38.95
  • 10 - 19
  • $37.95
  • 20+
  • $37.50
1 Part Continuous- 9.5" x 11" for pinfed printers
Box quantity: 2500

Printed in red, OCR scannable ink in compliance with government standards
Medicare approved for billing Medicare Part A claims
Shipping for all claim forms is $9.50/box in the 48 states (not including Alaska, Hawaii & Puerto Rico)

Related Items

UB-04 Forms, Laser, 8.5 x 11
UB-04 Forms, Laser, 8.5 x 11
Average Rating(1)
$39.95
In Stock.
#10-1/2
#10-1/2" CMS-1500 Envelope, Regular Seal, BLANK
$58.95
In Stock.
#10 CMS Envelopes, Right Middle Window, Regular Seal- IMPRINTED 500/bx
#10 CMS Envelopes, Right Middle Window, Regular Seal- IMPRINTED 500/bx
$60.00
In Stock.
#10 CMS Envelopes, Right Middle Window, Regular Seal- BLANK, 500/bx
#10 CMS Envelopes, Right Middle Window, Regular Seal- BLANK, 500/bx
$42.00
In Stock.
#10 CMS Envelopes, Right Middle Window, Self Seal- IMPRINTED 500/bx
#10 CMS Envelopes, Right Middle Window, Self Seal- IMPRINTED 500/bx
Average Rating(1)
$64.00
In Stock.
NEW 2019 Dental Claim Form Laser 1 part version 2500 per carton
NEW 2019 Dental Claim Form Laser 1 part version 2500 per carton
$39.95
Out of Stock.

Recently Viewed Items

Browse Similar Items