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:$35.00
In Stock.
Part Number:WEB-WCMS1500U2-2012
Quantity Pricing
Quantity
Price
  • 5 - 9
  • $34.00
  • 10 - 19
  • $33.00
  • 20+
  • $32.55
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)
$36.95
In Stock.
UB-04 Forms, 1 Part Continuous
UB-04 Forms, 1 Part Continuous
$35.50
In Stock.
CMS-1500 Form (New 02/12 version), 2 Part Continuous, 1000/bx
CMS-1500 Form (New 02/12 version), 2 Part Continuous, 1000/bx
Average Rating(1)
$39.95
In Stock.
CMS-1500 Form (New 02/12 version), 1 Part Continuous, 2500/box
CMS-1500 Form (New 02/12 version), 1 Part Continuous, 2500/box
$31.95
In Stock.
Jumbo CMS-1500 Envelope, Right Window, Self Seal- BLANK 100/pk
Jumbo CMS-1500 Envelope, Right Window, Self Seal- BLANK 100/pk
$24.95
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