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BMSB Custom Super Forms 1500NC 0212 1500 Claim Form Laser 02/12 Revision P16159513BMSB-1500NC-0212-BLACKINK https://cdnimages.opentip.com/full/BMSB/BMSB-1500NC-0212.jpg Custom Super Forms 1500NC 0212 1500 Claim Form Laser 02/12 Revision These Medical Claim Forms are used to submit and process health insurance claims to Medicare and Medicaid clearing houses for services provided by health care professionals. 16159513 0.0100lbs 0.00 0.00 0.00
Super Forms
30 2026-04-25 In Stock

Custom Super Forms 1500NC-0212 - 1500 Claim Form Laser (02/12 Revision)

Brand Super Forms
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SKU: BMSB-1500NC-0212
Price: $0.06
Min.Order Price: $30.00 for 500 units
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*  Price Note: This is an estimate price of custom item. The actual price will be displayed after you design online.
* This item must be ordered in multiples of 500.
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Product Description

These Medical Claim Forms are used to submit and process health insurance claims to Medicare and Medicaid clearing houses for services provided by health care professionals.

NOTE: It is important to keep in mind that this price is just for blank products. After you finish your design online and add to cart, you will see your setup fee and final price.
  • For printing decoration, additional locations/colors may incur additional fee.
  • Industry damage allowance is 2% of order, at least one piece. We would refund the damaged pcs if there any. Please order extra pieces as need.

warning tips WARNING: This product can expose you to chemicals which are known to the State of California to cause cancer, birth defects, or other reproductive harm. For more information, go to www.p65warnings.ca.gov.

Specifications

Return Policy

This item is non-returnable.
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