Import It All
Office Products > Office & School Supplies > Forms, Recordkeeping & Money Handling > Human Resources Forms > Insurance Claim Forms
NextDayLabels - CMS 1500 / HCFA 1500 Insurance Claim Forms - Laser/Ink-Jet Compatible (New Version 02/12) Letter Size 8-12" x 11", 100 Sheets Per Pack

NextDayLabels - CMS 1500 / HCFA 1500 Insurance Claim Forms - Laser/Ink-Jet Compatible (New Version 02/12) Letter Size 8-12" x 11", 100 Sheets Per Pack

Product ID: 4612611 Condition: New

Payflex: Pay in 4 interest-free payments of R231.75. Learn more
Available in other options.
Variations
R 927
includes Duties & VAT
Delivery: 10-20 working days
Ships from USA warehouse.
Secure Transaction
VISA Mastercard payflex ozow

Product Description

NextDayLabels - CMS 1500 / HCFA 1500 Insurance Claim Forms - Laser/Ink-Jet Compatible (New Version 02/12) Letter Size 8-12" x 11", 100 Sheets Per Pack

  • 1-Part 8-1/2" X 11" Laser Form CMS-1500 printed in red ink
  • Required for health-care providers to bill a patient's insurance company for reimbursement.
  • New Version 02/12 (APPROVED OMB-0938-1197)
  • Medicare now accept this Version 02/12 only.
  • For Laser and Inkjet Printers, Made in USA by Next Day Labels TM

Pack of 100 sheets

Technical Specifications

Country
USA
Brand
NextDayLabels
Manufacturer
Next Day Labels
Binding
Office Product
ItemPartNumber
HCFA1500-100
Model
DNT-15238
Color
Red
Size
100
UnitCount
100
UPCs
646437575973
EANs
0646437575973

You might also like

Back to top