Top Defect Claim

New CMS 1500 Health Insurance Claim Forms, HCFA Approved Version (02/12) - 1,000 Forms

  • New Health Insurance Claim Forms, 2012 Approved Version.
  • 1-Part 8-1/2" X 11" Laser Form CMS-1500, Printed in Red Ink.
  • Required for Healthcare Providers to Bill Patients' Insurance Companies for Reimbursement.
  • Latest HCF / CMS 1500 Claim Form (Approved OMB-0938-1197).
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New CMS 1500 Health Insurance Claim Forms, HCFA Approved Version (02/12) - Ream of 100 Forms

  • New Health Insurance Claim Forms, 2012 Approved Version.
  • 1-Part 8-1/2" X 11" Laser Form CMS-1500, Printed in Red Ink.
  • Required for Healthcare Providers to Bill Patients' Insurance Companies for Reimbursement.
  • Latest HCF / CMS 1500 Claim Form (Approved OMB-0938-1197).
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New CMS 1500 Health Insurance Claim Forms, HCFA Approved Version (02/12) - Ream of 125 Forms

  • New Health Insurance Claim Forms, 2012 Approved Version.
  • 1-Part 8-1/2" X 11" Laser Form CMS-1500, Printed in Red Ink.
  • Required for Healthcare Providers to Bill Patients' Insurance Companies for Reimbursement.
  • Latest HCF / CMS 1500 Claim Form (Approved OMB-0938-1197).
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UB-04 (CMS 1450) Health Hospital Insurance Claim Form, Laser 8-1/2 x 11\ 100 Forms Per Pack

  • UB-04 (CMS 1450) Health Insurance Claim Form.
  • Accommodates reporting of the National Provider Identifier (NPI) number.
  • 100% compliant with the approved update to the HCFA / CMS1450 health claim form.
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SquareTrade Allstate B2B 2-Year Cell Phones Accidental Protection Plan $0-99.99

  • Plan starts on the date of purchase. Product damages from accidents, like drops and spills, are covered from day one. Product breakdowns and....
  • $25 deductible per claim. Parts, labor, and shipping are all included..
  • Cancel anytime, full refund in the first 30 days. Transferable with gifts.
  • Easy claims process - file a claim anytime 24/7 via mobile app, online, or phone..
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Amazon.com Gift Card Claim Codes

  • Amazon.com Gift Cards are a great way to motivate, reward, and appreciate your employees or customers. After purchasing gift card codes, you can download the codes into a spreadsheet, then distribute to your recipients..
  • Upon successful processing of your order, you will receive an email with a link to download your gift codes as a comma separated value (CSV) file that will normally open in a spreadsheet program like Microsoft Excel. You can also download the file from 'Your Orders'..
  • All claim codes must be delivered with the information contained in our delivery templates linked below. Email and Web-Page are the only approved delivery methods:.
  • Any form factor that cannot contain required redemption instructions and legal disclaimer are PROHIBITED. These include Facebook, Twitter, Instagram, or any other social networking platform..
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Assurant 5-Year Appliance Protection Plan ($250-299.99)

  • PLAN STARTS: Plan starts date of purchase. Coverage for mechanical breakdowns begins after the manufacturer’s warranty expires..
  • COVERAGE DETAIL: 100% functional parts and labor included on products used for normal, household use and purchased on Amazon within the last 30 days..
  • PLAN BENEFITS: $0 deductible and no hidden fees. Fully transferable if bought as a gift. Food loss reimbursement up to $100 per approved claim for refrigerators and freezers..
  • FILING A CLAIM: Easy claims process online 24/7. Visit assurant360claims.com. We’ll fix it, replace it or send you an Amazon gift card up to the price you paid for your product..
  • HOW TO CANCEL: Cancel anytime, full refund within the first 30 days (less any claims paid). To cancel, visit “Your Orders” on Amazon.com and click “Return or Replace Item” next to the protection plan..
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Assurant 5-Year Appliance Protection Plan ($450-$499.99)

  • PLAN STARTS: Plan starts date of purchase. Coverage for mechanical breakdowns begins after the manufacturer’s warranty expires..
  • COVERAGE DETAIL: 100% functional parts and labor included on products used for normal, household use and purchased on Amazon within the last 30 days..
  • PLAN BENEFITS: $0 deductible and no hidden fees. Fully transferable if bought as a gift. Food loss reimbursement up to $100 per approved claim for refrigerators and freezers..
  • FILING A CLAIM: Easy claims process online 24/7. Visit assurant360claims.com. We’ll fix it, replace it or send you an Amazon gift card up to the price you paid for your product..
  • HOW TO CANCEL: Cancel anytime, full refund within the first 30 days (less any claims paid). To cancel, visit “Your Orders” on Amazon.com and click “Return or Replace Item” next to the protection plan..
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Assurant 5-Year Appliance Protection Plan ($100-124.99)

  • PLAN STARTS: Plan starts date of purchase. Coverage for mechanical breakdowns begins after the manufacturer’s warranty expires..
  • COVERAGE DETAIL: 100% functional parts and labor included on products used for normal, household use and purchased on Amazon within the last 30 days..
  • PLAN BENEFITS: $0 deductible and no hidden fees. Fully transferable if bought as a gift. Food loss reimbursement up to $100 per approved claim for refrigerators and freezers..
  • FILING A CLAIM: Easy claims process online 24/7. Visit assurant360claims.com. We’ll fix it, replace it or send you an Amazon gift card up to the price you paid for your product..
  • HOW TO CANCEL: Cancel anytime, full refund within the first 30 days (less any claims paid). To cancel, visit “Your Orders” on Amazon.com and click “Return or Replace Item” next to the protection plan..
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Assurant 5-Year Appliance Protection Plan ($350-$399.99)

  • PLAN STARTS: Plan starts date of purchase. Coverage for mechanical breakdowns begins after the manufacturer’s warranty expires..
  • COVERAGE DETAIL: 100% functional parts and labor included on products used for normal, household use and purchased on Amazon within the last 30 days..
  • PLAN BENEFITS: $0 deductible and no hidden fees. Fully transferable if bought as a gift. Food loss reimbursement up to $100 per approved claim for refrigerators and freezers..
  • FILING A CLAIM: Easy claims process online 24/7. Visit assurant360claims.com. We’ll fix it, replace it or send you an Amazon gift card up to the price you paid for your product..
  • HOW TO CANCEL: Cancel anytime, full refund within the first 30 days (less any claims paid). To cancel, visit “Your Orders” on Amazon.com and click “Return or Replace Item” next to the protection plan..
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3M 07524 Roloc 2 x 5/8 Tapered Coarse Bristle Disc Pack of 10 Green

  • Use for deburring, blending, finishing, polishing, and cleaning.
  • For coating, defect, scratch and rust removal.
  • Also used for coating, defect, scratch and rust removal.
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3M Glass Polishing Compound, 60150

  • Bottled liquid compound used for defect repair and scratch removal.
  • Polish assorted glass surfaces and parts in one easy step.
  • Cerium oxide mineral breaks down quickly for a bright finish.
  • No wax, chemical cleaners, fillers or glazing oils.
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