MCF-387-1, CMS-1500 Claim Form, Laser

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CMS-1500 Claim Forms
These forms are authorized by the centers for Medicare and Medicaid Services to meet all insurance claim requirements. The revised CMS-1500 allows for reporting of the National Provider Identifier (NPI) number.
Size: 8.5" x 11"

Pricing Information:

MCF-387-1	250	500	1000	2000	2500
One Part - Imprinted	$47.64	$60.02	$73.19	$132.82	$163.64
One Part - Blank	$22.09	$31.63	$37.08	$69.79	$85.46

Form Features:

Available either Blank or Imprinted
Free Typestyle-Add a font to the main line of text ( NOTE: Arial is the default typestyle if none is selected.
View Available Typestyles-Please Specify by ID Code under Personalization.
Up to 5 lines of imprint.
Choose one of four standard colors for company imprint:

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