CMS-1500 Version 08/05 - 1,000 Sheets. Medical Billing Claim Forms. HCFA 0805 Version by Jaxplaza at Atlas Success. MPN: CMS1500V0805. Hurry! Limited time offer. Offer valid only while supplies last. 08/05 Version. (1,000 Sheets) The Centers for Medicare and Medicaid Services (CMS) healthcare forms are required for all federal insurance claims and many private healthcare organizations.1-Part Laser Form CMS-1500 printed in red ink. APPROVED OMB-0938-0999 (Version 08/05). Size: 8-1/2'' X 11''; Weight: 24# Paper. For Laser and Inkjet Printers. 1,000 Sheets.
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mpn: 1057, ean: 0680031508340,
Record every detail of adult and primary dentition in a horizontall format ideal for file folders. Accurate charting and notes! Front features 1-32 numbering and a-t lettering, with a summary area for patient history. Back includes space for listing ...
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: TFP1200, ean: 0617689755444,
This is the latest version of the claim/attending dentist form. It's authorized by the American Dental Association (ADA). 100% compliant to meet ADA guidelines. 2,500 per case. Laser-Cut SheetSold as 2500/Case..