Used by hospitals and institutions to file a medical claim with a patients insurance company
- Meets the requirements of the Centers for Medicare and Medicaid Services (CMS). Printed on carbonless, 20-lb bond, 1-ply paper with red ink.
$307.99 Original price was: $307.99.$267.82Current price is: $267.82.
Buy More and Save with Volume Discount:
| Quantity | 2 + | 5 + | 10 + |
|---|---|---|---|
| Price | $267.55 | $267.28 | $267.02 |
Out of stock
Used by hospitals and institutions to file a medical claim with a patients insurance company
No specifications match your search.
| Weight | 26 lbs |
|---|---|
| Dimensions | 11.5 × 8.5 × 11 in |
Claim Forms
ComplyRight CMS Health Insurance Envelopes, Window, Self-Seal, 5-3/5in x 9-1/2in, Box Of 500

Out of stock