CM21 CM23 CMS 1500 TWO PART CONTINUOUS FORMS FOR DOT MATRIX OR PINFEED PRINTERS
Product Description
CMS 1500 (HCFA 1500) 2 part continuous
1000 SETS 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.)
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1000 sets per case $104.00, 3/$300.00, 8/$784.00, 10/$960.00 |