Laser CMS Claim Form 02/12
- Personalized forms add professionalism: help avoid processing errors.
- Free personalization: Includes imprinted name, address, phone number, and NPI number.
- Convenient to use: 1-part form on 20# white bond stock, printed in OCR red ink.
- Industry standard: Accepted by most health insurance companies.
- Single sheet format: Works with most laser printers.