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SKU: 8387
$19.99
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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