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NEW CMS 1500 HCFA Health Insurance Claim Forms (Version 02/12) 500 Forms

NEW CMS 1500 HCFA Health Insurance Claim Forms (Version 02/12) 500 Forms

$ 10

Availability: 1373 in stock
  • Return shipping will be paid by: Buyer
  • Restocking Fee: 20%
  • MPN: cm44
  • Condition: New
  • Brand: linco
  • Refund will be given as: Money Back
  • All returns accepted: Returns Accepted
  • Item must be returned within: 30 Days

    Description

    CMS-1500 Laser Printer Medical Claims Form ver 02/12 500 sheet pack.
    1-Part Laser Form CMS-1500 printed in red ink
    New Version 02/12 (APPROVED OMB-0938-1197)
    Medicare began accepting this Version 02/12 on 1/06/14. Starting 04/04/14 Medicare will accept this Version 02/12 only.
    Size: 8-1/2" X 11"
    For Laser and Inkjet Printers