Hello, Guest!
Login
Shopping Cart
0 item(s) in cart/ total: $0
view cart
Home
Scrubs
Office Supplies
Promo
E-Catalogs
Furniture
My Account
Home
>
Claim Forms CMS/UB04/ADA
> CMS-1500 Form (New 02/12 version), Unit Set, 8.5 x 11
Laser CMS-1500 Form (New 02/12 version)
CMS-1500 Form (New 02/12 version), Unit Set, 8.5 x 11
|
Questions about this item? Be the first to ask here.
Price
Your Price:
$35.00
Availability:
In Stock.
Part Number:
WEB-WCMS1500U2-2012
Quantity
Add to Cart
Quantity Pricing
Quantity
Price
5 - 9
$34.00
10 - 19
$33.00
20+
$32.55
Review this item
Add to Wish List
Email a friend
Description
Customer Reviews
Unit Set- 8-1/2" x 11" (glued edge at top of 8-1/2" side)
Box quantity: 1000
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
(1)
Your Price:
$36.95
In Stock.
UB-04 Forms, 1 Part Continuous
Your Price:
$35.50
In Stock.
CMS-1500 Form (New 02/12 version), 2 Part Continuous, 1000/bx
(1)
Your Price:
$39.95
In Stock.
CMS-1500 Form (New 02/12 version), 1 Part Continuous, 2500/box
Your Price:
$31.95
In Stock.
Jumbo CMS-1500 Envelope, Right Window, Self Seal- BLANK 100/pk
Your Price:
$24.95
In Stock.
NEW 2019 Dental Claim Form Laser 1 part version 2500 per carton
Your Price:
$39.95
Out of Stock.
Recently Viewed Items
Browse Similar Items
Claim Forms CMS/UB04/ADA
>
FORMS
Billing Department
Medical Forms
Billing Department
>
CMS/UB04
Medical Forms
>
CMS/UB04
Quick View