CMS Health Insurance Forms (CMS-1500), 2-Part w/ NPI, White/Yellow

CMS Health Insurance Forms (CMS-1500), 2-Part w/ NPI, White/Yellow: 5.0 stars; ( 2 reviews)

Price:: $66.99; 1,000/Pack

Currently Out of Stock.

Add to Favorites

Expected Delivery
Item qualifies for free delivery.
Item qualifies for free delivery to a store near you. ( Learn more )
Delivery Only

Item: 668816
Model: CMS2

66.99Per Federal regulations, all Health Care Providers must use the CMS formsFile a hard copy of each claim with patient records in case you need to resubmit a claimAvailable in one or two-partCMS Health Insurance Forms for Continuous Form Dot-Matrix Printershttp://s7d5.scene7.com/is/image/Staples/s0194309_sc7?$std$http://s7d5.scene7.com/is/image/Staples/s0194309_sc7?$thb$http://s7d5.scene7.com/is/image/Staples/s0194309/CMS-Health-Insurance-Forms-for-Continuous-Form-Dot-Matrix-Printers/product_SS998783CMS Health Insurance Forms for Continuous Form Dot-Matrix Printers5.02 66.99Per Federal regulations, all Health Care Providers must use the CMS formsFile a hard copy of each claim with patient records in case you need to resubmit a claimOne part, whiteCMS Health Insurance Forms (CMS-1500), 1-Part Pin-Feed w/ NPIhttp://s7d5.scene7.com/is/image/Staples/s0194309_sc7?$std$http://s7d5.scene7.com/is/image/Staples/s0194309_sc7?$thb$http://s7d5.scene7.com/is/image/Staples/s0194309/CMS-Health-Insurance-Forms-CMS-1500-1-Part-Pin-Feed-w-NPI/product_668812CMS Health Insurance Forms (CMS-1500), 1-Part Pin-Feed w/ NPI4.53 66.99Per Federal regulations, all Health Care Providers must use the CMS formsFile a hard copy of each claim with patient records in case you need to resubmit a claimTwo-part, white/yellowCMS Health Insurance Forms (CMS-1500), 2-Part w/ NPI, White/Yellowhttp://s7d5.scene7.com/is/image/Staples/s0194309_sc7?$std$http://s7d5.scene7.com/is/image/Staples/s0194309_sc7?$thb$http://s7d5.scene7.com/is/image/Staples/s0194309/CMS-Health-Insurance-Forms-CMS-1500-2-Part-w-NPI-White-Yellow/product_668816CMS Health Insurance Forms (CMS-1500), 2-Part w/ NPI, White/Yellow5.02 66.99Per Federal regulations, all Health Care Providers must use the CMS formsFile a hard copy of each claim with patient records in case you need to resubmit a claimTwo-part, white/whiteCMS Health Insurance Forms (CMS-1500), 2-Part w/ NPI, White/Whitehttp://s7d5.scene7.com/is/image/Staples/s0194309_sc7?$std$http://s7d5.scene7.com/is/image/Staples/s0194309_sc7?$thb$http://s7d5.scene7.com/is/image/Staples/s0194309/CMS-Health-Insurance-Forms-CMS-1500-2-Part-w-NPI-White-White/product_668827CMS Health Insurance Forms (CMS-1500), 2-Part w/ NPI, White/White4.02

Product Details
Customer Reviews
Q & A
Supplies & Accessories
Also Consider

Per Federal regulations, all Health Care Providers must use the CMS forms
File a hard copy of each claim with patient records in case you need to resubmit a claim
Two-part, white/yellow
Compatible with continuous form Dot-Matrix printers

Recommended Items Add Accessories to Cart
Item 405625 Model 1500E	9-1/2" X 4-1/2" Envelopes, 1500-E All envelopes have security lining 9-1/2" x 4-1/2" Compatible with Dot-Matrix and Laser printers	Expected Delivery7 - 14 Business Days	Price: *$39.99* 500/Box	Qty. Add to Favorites
Item 405625 Model 1500E			Price: *$39.99* 500/Box	Qty. Add to Favorites

Item 613397 Model 613397	Staples® Manila End-Tab Fastener Folders with Reinforced Tabs, Letter, 150/Box Single tab, reinforced Standard-weight 11 pt. stock 2" capacity fasteners in positions 1 and 3	Expected Delivery1 Business Day	Price: *$72.99* 150/Box Buy More Save More: 1-5 @ $72.99 6+ @ $58.39 Promotions: Buy More, Save More	Qty. Add to Favorites
Item 613397 Model 613397	Letter Size Folder End Tab Folder Recycled			Qty. Add to Favorites

Item 519018 Model 12358-CC	Staples® Correction Tape, 10/Pack 1/5" x 315" Dual action - pull for line correction, push for letter correction Smooth and dry - write on immediately Reviews for Staples® Correction Tape, 10/Pack 4.0 stars (50 reviews)	Expected Delivery1 Business Day	Price: *$18.49* 10/Pack Buy More Save More: 1-5 @ $18.49 6+ @ $14.79 Promotions: Buy More, Save More	Qty. Add to Favorites
Item 519018 Model 12358-CC				Qty. Add to Favorites
Add Accessories to Cart