1000 2 part personalized CMS 1500 / HCFA 1500 claim forms

1000 2 part personalized CMS 1500 / HCFA 1500 claim forms
Item# 2H1500I1000

Product Description

Duplicating set CMS 1500 / HCFA 1500 claim forms. When you fill out the form, a copy is made on the second bottom sheet for you to keep for your files. The top sheet use to submit for payment is white. The duplicate carbonless copy underneath is yellow. These are individual separate sets and are not continuous forms that you have to tear apart. Both top and bottom sheets are printed OCR red both sides as required by CMS.

We print as much information on your claim as you want. To order you can 1. email or fax a handwritten (or previously printed claim) to us and we will provide you a proof to check. Email the sample to: dsmith@graftekcommunications.com or fax it to 800-235-7954. You can also call us at 800-848-2992 9-5 EST and we'll take your information over the phone. Price includes setup, proofs, any changes and printing. Shipping and sales tax additional. We do not print without your approval.

The price includes all setup and printing the claim forms with your information. The only additional charge is shipping and sales tax (if you reside in Florida).