S2K Commerce - Products Dropdown
S2K Commerce - Order Entry
Meet billing requirements for Medicare Part B. Easy-to-read forms with crisp, clean text help ensure faster claims processing. Paper, layout and ink comply with CMS standards and requirements. Layout includes all 02/12 NUCC revisions and is a direct replacement for the previous 08/05 version. Printed in scannable, OCR "dropout" red ink. Form Size: 8.5 x 11; Forms Per Page: 1; Form Quantity: 1,000; Sheet Size: 8.5 x 11.
Item#:
TFPCMS12LC1-ES
Available:
In Stock
Your Price:
39.44
CARTON
Item is no longer available.