Jaxplaza Insurance Claim Form ver 02/12, White, 2,500 Sheets (CMS-1500)
$56.50
Description
Version 02/12, 2,500 Sheets.Accommodates reporting of the National Provider Identifier (NPI) number.Jam-free performance Paper are printed in OCR-scannable red ink.All forms are government approved CMS-1500 to serve federal programs and private insurers as a universal claim form..Approved OMB 0938-1197
