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Item Number: CMS12LC

Pricing:

Price per
Case of 2500
2+
Cases
5+
Cases
10+
Cases
20+
Cases
$94.27 $91.67$89.72$87.89$77.73
Savings2.8%4.8%6.8%17.5%

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6 reviews

Get the forms you need for accurately submitting healthcare claims when you shop online at The Supplies Shops. The CMS-1500 version 02/12 is the latest approved NUCC claim form replacing CMS-1500 version 08/05. It’s designed with red “dropout” ink that allows printed or written text to stand out. It’s also compatible with high-speed OCR scanning equipment, which can help to streamline some of the key processes in your medical billing and claims department. Each carton contains 2,500 laser cut sheets. When you buy two or more cases, a bulk discount applies, and free shipping is included for all orders over $99.

Specifications:

  • CMS-1500 version 02/12 Laser Cut Sheets
  • 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)
  • 2,500/case
Brand:TFP Data Systems
Color:White
Condition:New
Currency:USD
Pre-Printed:Yes
Package Weight:25.00 LB
Material:Paper
Country of Origin:USA
Manufacturer Part Number:CMS12LC
Number of Items:2500
Paper Size:Letter
Ships in:4 to 5 Business Days (Plus time in transit)
Size:in
Style:Laser Cut Sheet