SKU:86021287540
60150X CMS 1500 Laser Sheet Insurance Claim Form 8 1/2 x 11" Qty 500
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USA
- USA
- CAN
- USA
- CAN
Ships within 48 hours · Estimated delivery Jul 11 - Jul 16
Description
60150X CMS 1500 Laser Sheet Insurance Claim Form 8 1/2 x 11" Qty 50060150X CMS 1500 Laser Sheet Insurance Claim Form Version 02 12 Size: 8 1 2 x 11"Speed third party billing and manage your cash flow with this AMA and CMS approved claim form for your laser printer. Includes all updates to the 02 12 version approved by the NUCC (National Uniform Claim Committee) Convenient and easy to use! 1 part form on 20# white bond stock, printed in OCR red ink. For padded forms, please see products 60152X Accommodates NPI numbers
Federal Reserve Qualified: Meets the Federal Reserve's specifications
Compatible with 2200NJ and 2200NPJ Journals and 9005D Folding Bookkeeper with Locking Bar
116 Weekly Service & Installation Schedule Pad Hole PunchSize: 21 1/2 x 17" Avoid scheduling conflicts with our weekly service and installation schedule pads
Window alignment: 13/32" from top
Security Pattern Inside
200 per box
Window alignment: 5/8" from left 9/16" from bottom
5029 Double Window Confidential Envelope Self Seal Size: 8 5/8 x 3 5/8"Cut the time it takes you to send invoices
100 Sheets per pad
Each day is perforated
Does NOT include monthly tabs or year label
Ultra-level tamper-evident closure provides the highest degree of security to protect against theft and alteration
Quick Dispatch:
Your 60150X CMS 1500 Laser Sheet Insurance Claim Form 8 1/2 x 11" Qty 500 orders ship within 1-2 business days.
Delivery Options:
- Standard: 3-7 business days
- Fast: 2-3 business days
- Express: 1-2 business days
Order Tracking:
You'll receive a tracking link by email once your 60150X CMS 1500 Laser Sheet Insurance Claim Form 8 1/2 x 11" Qty 500 ships.
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Exchange/Return Notes
- We offer a 30-day return/exchange service after receiving.
- Final sale items are not eligible for returns or exchanges.
- To process your return/exchange, please contact us at [email protected]
- Please click here for more details>>> Return & Exchange Policy