CMS 1500 Claim Forms     BACK  TO  MAIN  PRODUCT  PAGE
 
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HCFA 1500 Claim Form
THIS IS WHAT A TYPICAL CMS 1500 CLAIM FORM LOOKS LIKE:
 
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PRICING GUIDE
PLEASE USE THE CONVENIENT PRICING GUIDE TO ASSIST WITH YOUR ORDER
 
# of Parts Quanity/
Carton
Form # Paper Color Sell/m Sell/ctn Discount
for 3+ ctns
1-Part LASER 2500 WCMS-1500CS White 26.00/m 65.00/ctn 15% (55.25ctn)
1-Part Continuous 2500 WCMS-1500-1 White 20.75/m 51.88/ctn 15% (44.10/ctn)
2-Part Continuous 1000 WCMS-1500-2W White/White 47.10/m 47.10/ctn 15% (40.04/ctn)
2-Part Continuous 1000 WCMS-1500-2 White/Canary 47.10/m 47.10/ctn 15% (40.04ctn)
 

 

 



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