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DFL Enterprises, Inc.
CMS/HCFA Forms
UB-04 Forms
HIPAA Compliance Forms
Envelopes
Printing Services
Login Account
0
0
CMS/HCFA Forms
UB-04 Forms
HIPAA Compliance Forms
Envelopes
Printing Services
Login Account
CMS/HCFA Forms CMS-1500 Claim Forms - 2 Part Continuous, 1st Sheet White, 2nd Sheet Canary
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CMS-1500 Claim Forms - 2 Part Continuous, 1st Sheet White, 2nd Sheet Canary

$57.75

Newest Revision Version 02/12
2 Part Continuous CMS-1500 Form

1st Sheet White, 2nd Sheet Canary

This form is designed to be printed on a pin-feed printer

1,000 Forms Per Case
ON HIGH-QUALITY PAPER TO GOVERNMENT STANDARDS

Quantity:
Add To Cart

Newest Revision Version 02/12
2 Part Continuous CMS-1500 Form

1st Sheet White, 2nd Sheet Canary

This form is designed to be printed on a pin-feed printer

1,000 Forms Per Case
ON HIGH-QUALITY PAPER TO GOVERNMENT STANDARDS

Newest Revision Version 02/12
2 Part Continuous CMS-1500 Form

1st Sheet White, 2nd Sheet Canary

This form is designed to be printed on a pin-feed printer

1,000 Forms Per Case
ON HIGH-QUALITY PAPER TO GOVERNMENT STANDARDS

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177 Kensington Dr,
Madisonville, LA 70447
PHONE: 985-875-0800
FAX: 985-206-5040

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CMS/HCFA Claim Forms
HIPAA Compliance Forms
UB-04 Claim Forms
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American HCFA Forms

ALL OUR FORMS ARE OF THE HIGHEST QUALITY, ARE PRINTED IN STRICT COMPLIANCE WITH GOVERNMENT SPECIFICATIONS AND ARE APPROVED BY CENTERS FOR MEDICARE AND MEDICAID SERVICES AND THE INSURANCE INDUSTRY.OUR FORMS HAVE BEEN APPROVED BY THE GOVERNMENT.
The American HCFA Forms division of DFL Enterprises, Inc. is an independent supplier of US Government approved claim forms and NOT an affiliate of CMS (www.cms.gov)

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