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New HCFA Claim Form 1500 CMS Claim Form, Pack of 500 With 25 HCFA Envelopes

500 New HCFA Claim Forms (02-12) - 25 9 x 12-1/2" Self Seal Envelopes - Forms are For Use in Laser & Inkjet Printers.

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Product Number: N1ACMS15005CW25912E
Nordisco Price
$39.99 PK

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Pack includes 500 New HCFA claim forms plus 25 9 x 12-1/2" self seal claim form envelopes. New Health insurance claim form, for use starting January 6, 2014. Pack of 500 HCFA CMS-1500 claim forms comply with current physicians' standards for expediting Medicare and Medicaid payments. Each meets requirements of the Centers for Medicare and Medicaid Services, Champus and the AMA Council of Medical Service. Front and back are printed in red OCR ink on white 20 lb. bond. Forms are compatible with laser printers. Approved OMB-0938-1197 Form 1500 (02-12). Claim envelopes are designed for use with Insurance Form CMS-1500 and similar forms. Window positioning on envelopes allows address on Insurance Form CMS-1500 to show through. No folding is needed. Simply insert form and seal. Redi-Seal closure requires no moisture. Just raise the lower flap and press to seal. Interior is tinted for privacy. Window size is 1" x 4-1/2", positioned 4" from left and 10" from the bottom. 28 lb.

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