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Item Number: CMS12S

Pricing:

Price per
Case of 500
2+
Cases
5+
Cases
10+
Cases
20+
Cases
$61.83 $59.02$56.61$55.91$54.90
Savings4.5%8.4%9.6%11.2%

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Make sure you properly bill for health insurance claims with these CMS-1500 (02/12) 2-Part Snap-Apart Forms from The Supplies Shops. Most commonly used by government and private health providers, the CMS-1500 (02/12) can be used to bill Medicare carriers. As required by Medicare, our forms are printed in red “dropout” ink. The two-part form easily comes apart to ensure proper record keeping at your healthcare facility or medical offices.

  • CMS-1500 version 02/12 (the latest approved NUCC claim form replacing CMS-1500 version 08/05)
  • 2-Part Snap-Apart form
  • Accommodates reporting of NPI
  • Designed for processing on high-speed OCR Scanning equipment
  • Printed in red "dropout" ink
  • 20# Environmental Paper Alliance (EPA) Recycled Paper (White/Canary)
  • 500/case
Brand:TFP Data Systems
Condition:New
Currency:USD
Pre-Printed:Yes
Package Weight:10.00 LB
Material:Carbonless Paper
Country of Origin:USA
Manufacturer Part Number:CMS12S
Number of Items:500
Paper Size:Letter
Ships in:4 to 5 Business Days (Plus time in transit)
Size:in
Style:2-Part Snap-Apart