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mpn: 27011, ean: 0041898207614,
Collect dental health history information from your patients. Comes with 2 pre-punched holes for easy filing.Detailed medical and dental condition questions, previous dental treatments and more. Unique color coded design makes it easy to find the rig...
By The Filing Supplies Shop
UB-04 Hospital Claim Form 1-Part Continuous (2,500/case) Printed in OCR red "dropout" ink; 20# Environmental Paper Alliance (EPA) Recycled Paper (White); 2,500/case...
mpn: HCFACS3500, ean: 0605608567780,
NEW CMS-1500 INSURANCE CLAIM FORMS, HCFA (Version 02/12) - 7 REAMS (3500 SHEETS/FORMS)1-Part Laser Form CMS-1500 printed in red ink - Quantity: 3500 Forms. New Version 02/12 (APPROVED OMB-0938-1197). Medicare Accepts Only This Version 02/12 Beginning...
mpn: 59870R, ean: 0640206360197,
Printed to Government Printing Office standards. OCR ink for scanning. American Medical Association (AMA) approved format. Form Size: 8 1/2 x 11; Forms Per Page: 1; Form Quantity: 2500; Layout: One Form per Sheet.Printed to Government Printing Office...
Satisfy recordkeeping requirements with cms-1500 Health insurance claim forms. Per Federal regulations, all healthcare providers must use the cms-1500 form for specific types of billing. The cms-1500 accommodates reporting of the National provider id...
mpn: 6509, ean: 0090146171061,
The Centers for Medicare and Medicaid Services (CMS) healthcare forms are required for all federal insurance claims and many private healthcare organizations. These preprinted and cut size forms speed up claims processing. New Version 02/12: Medicare...