Shopping Cart

0 item(s) in cart/ total: $0    view cart
Home > Claim Forms CMS/UB04/ADA  >  CMS-1500 Form (New 02/12 version), Unit Set, 8.5 x 11
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.
Your Price:$39.95
In Stock.
Part Number:WEB-WCMS1500U2-2012
Quantity Pricing
Quantity
Price
  • 5 - 9
  • $38.95
  • 10 - 19
  • $37.95
  • 20+
  • $37.50
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
UB-04 Forms, Laser, 8.5 x 11
Average Rating(1)
$39.95
In Stock.
Jumbo CMS-1500 Envelope, Right Window, Self Seal- BLANK 500/bx
Jumbo CMS-1500 Envelope, Right Window, Self Seal- BLANK 500/bx
$96.95
In Stock.
Jumbo UB-04 Envelope, Left Window, Self Seal- BLANK 500/bx
Jumbo UB-04 Envelope, Left Window, Self Seal- BLANK 500/bx
$85.00
In Stock.
UB-04 Forms, 1 Part Continuous
UB-04 Forms, 1 Part Continuous
$35.50
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, Self Seal- IMPRINTED 500/bx
#10 CMS Envelopes, Right Middle Window, Self Seal- IMPRINTED 500/bx
Average Rating(1)
$64.00
In Stock.

Recently Viewed Items

Browse Similar Items