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

CMS-1500

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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

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