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:$31.95
In Stock.
Part Number:WEB-WCMS-1500-112
Quantity Pricing
Quantity
Price
  • 5 - 9
  • $30.95
  • 10 - 19
  • $29.95
  • 20+
  • $29.50
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)
$36.95
In Stock.
#10 CMS Envelopes, Right Middle Window, Self Seal- BLANK, 500/bx
#10 CMS Envelopes, Right Middle Window, Self Seal- BLANK, 500/bx
$44.00
In Stock.
Jumbo CMS-1500 Envelope, Right Window, Self Seal- BLANK 500/bx
Jumbo CMS-1500 Envelope, Right Window, Self Seal- BLANK 500/bx
$88.95
In Stock.
#10-1/2
#10-1/2" CMS-1500 Envelope, Self Seal, BLANK, 500/bx
$51.95
In Stock.
#10 CMS Envelopes, Right Middle Window, Regular Seal- BLANK, 500/bx
#10 CMS Envelopes, Right Middle Window, Regular Seal- BLANK, 500/bx
$36.95
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)
$55.90
In Stock.

Recently Viewed Items

Browse Similar Items