Cms-1500 Health Insurance Claim Form, One-part (no Copies), 8.5 x 11, 1,000 Forms Total

Item Number: TFPCMS12LC1

Retail Price: ~~76.95~~
Our Price: $49.40 / CT (savings 27.55)

Quantity in Stock: 345

Meet billing requirements for Medicare Part B.
Easy-to-read forms for faster claims processing.
Comply with CMS standards and requirements for paper, layout and ink.
Printed in scannable, dropout OCR red ink.
Include all 02/12 NUCC revisions, replacing the previous 08/05 version.

Free shipping on qualifying orders over $75

Meet billing requirements for Medicare Part B. Easy-to-read forms with crisp, clean text help ensure faster claims processing. Paper, layout and ink comply with CMS standards and requirements. Layout includes all 02/12 NUCC revisions and is a direct replacement for the previous 08/05 version. Printed in scannable, OCR "dropout" red ink.

General Information

Manufacturer Name: Tfp Data Systems
Product Name: Form, Hlth Insrnc, 1000/ct
SKU: TFPCMS12LC1

Additional Information

National Stock No: 7420-01-484-4559
UPC: 813859024444

Product Information

Product Category: General Forms
Packaged Quantity: 1
Can Ship UPS? Yes
Recycled? Yes
Country of Origin: US
Assembly Required? N

Physical Characteristics

Product Length: 11.4
Product Width: 9.1
Product Height: 4.9
Product Weight: 11.0

About Haskell New York Inc.

Through our MAS GSA® 75 Schedule, Haskell is authorized to sell to government agencies such as Social Security, the Dept. of the Interior and even the Department of Defense. Haskell also supports the AbilityOne® program. AbilityOne® provides employment opportunities to people with major disabilities including the blind, wounded veterans and people living with PTSD.

For three generations, the small family owned business has survived the Great Depression, world war, the emergence of the super-stores and transition to an online world by providing personal service and great products at reasonable prices. Haskell is also a member of the ISG™ (Independent Suppliers Group) and can quote specialty items like apparel and branded promotional items. Call for competitive quotes. Installation services available upon request.

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