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CMS 1500 Form Continuous 1 Part

Laser CMS Form

CMS 1500 Form Continuous 1 Part

$44.99

 CMS 1500 Form Continuous 1 Part 

 

  • 1 Part CMS 1500 Form. 2500 per carton, NEW CMS 1500 form 02/12 version
  • For pinfeed printers (otherwise known as tractor feed/continuous)
  • Our CMS 1500 form for pinfeed printers are NUCC approved. Compatible version is 100% compliant
  • This is the latest/newest form that accommodates reporting of the National Provider Identifier (NPI) number
  • Approved OMB 0938-1197

Product Description

 CMS 1500 Form Continuous 1 Part 

  • 1 Part CMS 1500 Form. 2500 per carton, NEW CMS 1500 form 02/12 version
  • For pinfeed printers (otherwise known as tractor feed/continuous)
  • Our CMS 1500 forms for pinfeed printers are NUCC approved. Compatible version is 100% compliant
  • This is the latest/newest form that accommodates reporting of the National Provider Identifier (NPI) number
  • Approved OMB 0938-1197

 

 

Additional Information

Weight 34 lbs
Dimensions 11 x 9.5 x .5 in