CMS 1500 ONE PART CONTINUOUS FORMS FOR DOT MATRIX OR PINFEED PRINTERS

Item# oneparcon

Product Description

CMS 1500 (HCFA 1500) 1 part continuous

2500 SHEETS PER CASE

According to CMS, a CMS 1500 (HCFA 1500) form is used by non-institutional providers to bill Medicare Part B covered services and some Medicaid services. UB-04 (UB-92) forms are generally used for Medicare Part A services. Some private insurance carriers may also accept claims filed on CMS 1500 (HCFA 1500) forms.

GROUND FREIGHT PAID WITHIN THE 48 CONTIGUOUS UNITED STATES - FOR EXPEDITED OR SPECIALTY SHIPPING COSTS MUST BE CALCULATED SEPARATELY - ANY QUESTIONS CALL 800-841-0200

(If you are outside the 48 contiguous United States please call 800-841-0200 or 912-437-3192 to place your order - shipping costs for you must be calculated separately.)

IF YOU CAN'T FIND YOUR PRODUCT HERE OR IF YOU NEED LARGE QUANTITY PRICING CALL 800-841-0200

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2500 sheets per case
$64.22, 3/$185.64, 8/$464.00, 10/$562.20
CM11