New CMS 1500 Claim Forms - HCFA (Version 02/12) 100 per Ream

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SKU: 8387
$14.99
Availability: Many In Stock
Pack of 100 sheets

  • 1-Part 8-1/2" X 11" Laser Form CMS-1500 printed in red ink
  • Required for health-care providers to bill a patient's insurance company for reimbursement.
  • New Version 02/12 (APPROVED OMB-0938-1197)
  • Medicare now accept this Version 02/12 only.
  • For Laser and Inkjet Printers, Made in USA by Next Day Labels TM
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