Single sheet
Duplicating sets
CMS Claim Envelopes
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100 single sheet CMS 1500 / HCFA 1500 / UB04 claim forms
100 single sheet CMS 1500 / HCFA 1500 / UB04 claim forms
100 single sheet CMS 1500 / HCFA 1500 / UB04 claim forms
Item#: 1HCFA1500U100
$17.95
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Product Description
100 single sheet CMS 1500 / HCFA 1500 claim forms. Specify the new version (02/12) or old version (08/05) under Version. There is no difference in price. Price includes shipping to any address in the 50 states and sales tax (if applicable).