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5Forms 60151X CMS 1500 Two Part Carbonless Insurance Claim Form 0212 8 1/2 x 11" QTY 250 - NEBS NEBS 60151X Convenient and easy to use 2-part form on 20# /15# self-duplicating Printed in OCR red ink Accommodates NPI numbers as mandated by HIPAA Accepted by most health insurance companies 250 Forms Per Package

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