Single sheet
Duplicating sets
CMS Claim Envelopes
Payment Envelopes

250 single sheet CMS 1500 / HCFA 1500 / UB04 claim form
250 single sheet CMS 1500 / HCFA 1500 / UB04 claim form
250 single sheet CMS 1500 / HCFA 1500 / UB04 claim form
Item#: 1HCFA1500U250
$21.95
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Product Description
250 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).