Pay in 4 interest-free payments of $12.75 Learn more
Ships within 48 hours · Estimated delivery Oct 8 - Oct 13
Top removes easily for emptying
so you can just load and go
and other metal surfaces
The minimal black frames hold clear one-piece lenses
all ready in less than a minute
Cms-1500 Health Insurance Claim Form, One-part (no Copies), 8.5 X 11, 1,000 Forms Total cat_Paper & Dispensers Top removes easily for emptyingMeet billing requirements for Medicare Part B. Easy to read forms with crisp, clean text help ensure faster claims processing. Paper, layout and ink comply with CMS standards and requirements. Layout includes all 02 12 NUCC revisions and is a direct replacement for the previous 08 05 version. Printed in scannable, OCR "dropout" red ink.
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