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BMS Super Forms 1500NC 0212 1500 Claim Form Laser 02/12 Revision P5395941BMS-1500NC-0212 https://cdnimages.opentip.com/full/BMS/BMS-1500NC-0212.jpg Super Forms 1500NC 0212 1500 Claim Form Laser 02/12 Revision These Medical Claim Forms are used to submit and process health insurance claims to Medicare and Medicaid clearing houses for services provided by health care professionals. 5395941 0.0100lbs 0.00 0.00 0.00
Super Forms
20 2025-08-16 In Stock
customer review - by , October 10, 2023
5/ 5stars
Billing. Love them as long as Medicare does, too!
customer review - by , June 6, 2023
5/ 5stars
Decent price quick delivery.
customer review - by , August 8, 2021
5/ 5stars
This in the current claim form for printing and mailing in claims. We have several insurance companies that require chart notes mailed in directly with claim forms. These fit the bill.

Super Forms 1500NC-0212 - 1500 Claim Form Laser (02/12 Revision)

stars Rating 5 | 3 reviews
Brand Super Forms
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SKU: BMS-1500NC-0212
Unit Price: $0.04
Min.Order Price: $20.00 for 500 units
Quantity:
In Stock
* This item must be ordered in multiples of 500.
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Product Description

These Medical Claim Forms are used to submit and process health insurance claims to Medicare and Medicaid clearing houses for services provided by health care professionals.

warning tips WARNING: This product can expose you to chemicals which are known to the State of California to cause cancer, birth defects, or other reproductive harm. For more information, go to www.p65warnings.ca.gov.

Specifications

Return Policy

Dated products, including tax forms, must be exchanged or returned unopened by December 1.
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Customer Reviews
5 out of 5
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By Diane Johnson
Date: October 06, 2023
Billing. Love them as long as Medicare does, too!
Rating: 5 stars [5 of 5 Stars!]
By Kristine L.
Date: June 10, 2023
Decent price quick delivery.
Rating: 5 stars [5 of 5 Stars!]
By Pintodeluxe
Date: August 17, 2021
This in the current claim form for printing and mailing in claims. We have several insurance companies that require chart notes mailed in directly with claim forms. These fit the bill.
Rating: 5 stars [5 of 5 Stars!]
Items 1 - 3 of 3 reviews
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