Provides information of items to be serviced, description of parts, materials and estimated cost of labor. Tag stock quadruplicate has form on back for labor/materials recap. Consecutive red numbering expedites filing and bookkeeping.
Required by Centers for Medicaid and Medicare Services (CMS) and by most private healthcare organizations, these forms speed up claims processing...
Provides information of items to be serviced, description of parts, materials and estimated cost of labor. Tag stock quadruplicate has form on back for labor/materials recap. Consecutive red numbering expedites filing and bookkeeping.