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Product Description
Add these one-part personalized laser sheet CMS 1500 claim forms to your files to make sure claims go smoothly! The 0212 version is approved by the NUCC (National Uniform Claim Committee), which accommodates the use of the National Provider Identifier, as mandated by HIPAA. Guaranteed to meet government printing standards, these one-part forms are printed on 20# white bond stock in OCR red ink. They're accepted by most health insurance companies and work with most laser printers. Give these forms a try for effective paperwork!
Product ID: 60162
Part ID: 973332
Material: Paper
Product Details
- Additional Info: 8 1/2" x 11" one-part personalized laser CMS 1500 claim forms
- Material: Paper
- Product Width (IN): 11
- Product Length (IN): 8.5
✓ In Stock • Customized with Your Logo • Fast Turnaround • Price Beat Guarantee
Claim forms, laser, CMS 1500
You Save $0.01! - Save up to $0.04!
Selected: White
White
Material: Paper
Lead Time: 15 days
Price Tiers & Discount
| Quantity | Original Price | Discounted Price | Discount |
|---|---|---|---|
| 500+ | $0.19 | $0.16 | 20% OFF |
| 1,000+ | $0.15 | $0.12 | 20% OFF |
| 2,000+ | $0.14 | $0.11 | 20% OFF |
| 5,000+ | $0.13 | $0.10 | 20% OFF |
| 10,000+ | $0.13 | $0.10 | 20% OFF |
| 20,000+ | $0.09 | $0.07 | 20% OFF |
| 30,000+ | $0.08 | $0.06 | 20% OFF |
| 160,000+ | $0.07 | $0.06 | 20% OFF |
| 200,000+ | $0.07 | $0.06 | 20% OFF |
Front - 2 1/2" X 3/8" - Wet Offset (Run)
500+ EA : $10.00 → $8.00
Bottom - 2 1/2" X 3/8" - Wet Offset (Run)
500+ EA : $10.00 → $8.00
💡 Free Shipping: Add $422.40 more to qualify for free shipping!
💰 You Save $19.40 Today!
Shipping Information
Free ground shipping to the lower 48 states applies as long as the quantity of the item ordered multiplied by the per unit price is at least $500. Otherwise a flat $100 less than the minimum charge will apply for any such item. Additional charges may apply for shipping by air or to other locations. Certain items or customizations may incur additional costs not captured during checkout and will be quoted before processing the order. Unless exempt, sales tax will apply to orders shipped to Minnesota and will be added after checkout.


















