

MPN: CMS2
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Description
The most widely used business form in America. CMS 1500 forms for private practice and anyone billing within the non-institutional medical industry. Description: Private Practice Claim. Quantity: 1000/Box. Accomodates reporting of National Provider Identifier (NPI). Designed for processing on high speed OCR scanning equipment. 2-part continuous form, White/White. Printed with special dropout red ink on 20# paper. Version 8/05
Summary
Product Title: TFP Data Systems, Health Insurance Claim Form (CMS-1500), 2-Part w/ NPI, 1000 Box
Lowest Price: $55.99
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