5Forms 60150X CMS 1500 Laser Sheet Insurance Claim Form Version 02/12 8 1/2 x 11" QTY 500

Customer rating 4.9 stars

Imported from USA | Ships in 10 working days

5% additional discount on UPI | Cash On Delivery available

1

₹19100 -34% ₹12600/-

The price at cart2india.com is inclusive of custom duties, GST, freight forwarding and other charges.

Free Shipping across India. Powered by BlueDart.
EMI and GST Invoice available.

Product Information


Specification
Brand : 5Forms
BulletPoint : Convenient and easy to use Accommodates NPI numbers as mandated by HIPAA Accepted by most health insurance companies Single sheet format works with most laser printers
BulletPoint1 : Nylon Zipper
BulletPoint2 : Blue
BulletPoint3 : 19" X 22"
BulletPoint4 : 1 Each
Color : Multi
ExternallyAssignedProductIdentifier : 00810151604145
ExternallyAssignedProductIdentifier1 : 687225295765
ExternallyAssignedProductIdentifier2 : 0687225295765
ExternallyAssignedProductIdentifier3 : 10687225295762
FdaDeviceClassification : iv
FdaIndicationOfUse : otc_and_rx
FdaInstructionsForUseType : consumer
FdaLabelType : consumer
ItemName : 5Forms 60150X CMS 1500 Laser Sheet Insurance Claim Form Version 02/12 8 1/2 x 11" QTY 500
ItemPackageDimensions_Height : 1 inches
ItemPackageDimensions_Length : 1 inches
ItemPackageDimensions_Width : 1 inches
ItemPackageQuantity : 1
ItemTypeKeyword : business-claim-forms
Manufacturer : NEBS
ModelNumber : 60150X
NumberOfItems : 1
PartNumber : 60150X
ProductDescription : 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) Comes in packs of 500.
ProductSiteLaunchDate : 2024-07-15T20:12:21.859Z
Size : 8 1/2 x 11"
SupplierDeclaredDgHzRegulation : not_applicable
UnitCount : 500
WarrantyDescription : 90 Days

Questions & Answers

Have a question? Ask experts

?
No question found

Ratings & Review

Rating Breakdown (average)

5*
7
4*
1
3*
0
2*
0
1*
0

Read all 8 customer reviews

Totally worth every penny.

Awesome product and great experience.

Stunning design and excellent performance.

Awesome product and great experience.

Will definitely recommend to others.

Extremely satisfied with the product.

Totally worth every penny.

Top-notch quality, canÕt complain.

Have an opinion on this page? Let's hear it.