✕These results match your search query. Sellers participating in our shopping program provide pricing and product information to Bing. Compensation from these sellers is one of several factors that influences ranking of these results. Find out more about our approach to personalized ads and how to opt-out.
✕Products are ranked based on relevance to your search. Microsoft is not compensated for these results. Sellers participating in our shopping program may provide product information including pricing. Learn more about Product Listings across Microsoft.
✕Products are ranked based on relevance to your search. Microsoft is not compensated for these results. Sellers participating in our shopping program may provide product information including pricing. Learn more about Product Listings across Microsoft.
Speed third-party billing and manage your cash flow with this AMA and CMS approved claim form for your laser printer. Includes all updates to the 02/12 version approved by the NUCC (National Uniform Claim Committee) Convenient and easy to use! 1-part form on 20# white bond stock, printed in OCR red ink. Accommodates NPI numbers as mandated by HIPAA. Accepted by most health insurance companies.
Share this product
CMS-1500 Laser Sheet Insurance Claim Form Version 02/12 (2000Ct)
✕Products are ranked based on relevance to your search. Microsoft is not compensated for these results. Sellers participating in our shopping program may provide product information including pricing. Learn more about Product Listings across Microsoft.
Tracking price
We added this to your collection and will notify you if the price dropsView collection
Sign in to see your saved products on any device and receive email
✕These results match your search query. Sellers participating in our shopping program provide pricing and product information to Bing. Compensation from these sellers is one of several factors that influences ranking of these results. Find out more about our approach to personalized ads and how to opt-out.