Item# WCMS1500U2 (Red) CMS 1500 HCFA Claim Form - Two Part Snap Set

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Item# WCMS1500U2 (Red)  CMS 1500 HCFA Claim Form – Two Part Snap Set

Item# WCMS1500U2 (Red)

CMS 1500 HCFA Claim Form - Two Part Snap Set

New Format: Two Part Snap-Set Claim Form with space for NPI code, 8 1/2" W x 11" H (after tear-off), OCR red ink on white and yellow paper, 500 per carton. Replaces WHCFA-1500-U-290.

National Provider Identifier (NPI) codes now required. Save time by pre-imprinting the doctor's name and NPI number on the forms. Envelopes available.

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