Cart 2 india

Specification
Brand : 5Forms
BulletPoint : Convenient and easy to use Accommodates NPI numbers as mandated by HIPAA Accepted by most health insurance companies Single sheet format works with most laser printers
BulletPoint1 : Nylon Zipper
BulletPoint2 : Blue
BulletPoint3 : 19" X 22"
BulletPoint4 : 1 Each
Color : Multi
ExternallyAssignedProductIdentifier : 00810151604145
ExternallyAssignedProductIdentifier1 : 687225295765
ExternallyAssignedProductIdentifier2 : 0687225295765
ExternallyAssignedProductIdentifier3 : 10687225295762
FdaDeviceClassification : iv
FdaIndicationOfUse : otc_and_rx
FdaInstructionsForUseType : consumer
FdaLabelType : consumer
ItemName : 5Forms 60150X CMS 1500 Laser Sheet Insurance Claim Form Version 02/12 8 1/2 x 11" QTY 500
ItemPackageDimensions_Height : 1 inches
ItemPackageDimensions_Length : 1 inches
ItemPackageDimensions_Width : 1 inches
ItemPackageQuantity : 1
ItemTypeKeyword : business-claim-forms
Manufacturer : NEBS
ModelNumber : 60150X
NumberOfItems : 1
PartNumber : 60150X
ProductDescription : Speed third-party billing and manage your cash flow with this AMA and CMS approved claim form for your laser printer. Includes all updates to the 02/12 version approved by the NUCC (National Uniform Claim Committee) Comes in packs of 500.
ProductSiteLaunchDate : 2024-07-15T20:12:21.859Z
Size : 8 1/2 x 11"
SupplierDeclaredDgHzRegulation : not_applicable
UnitCount : 500
WarrantyDescription : 90 Days