NEW CMS 1500 Claim Forms - HCFA (Version 02/12) (500 Sheets)
Price:
$14.99
- 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
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NEW CMS 1500 Claim Forms - HCFA (Version 02/12) (2500 Sheets)
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