New CMS 1500 Claim Forms - HCFA (Version 02/12) (500 Sheets)
SKU: B00HNDPJMQ (Updated 2023-01-16)
Price:
US$ 22.98
Description
Features & details
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
EAN: 0090146171061
Manufacturer: Formsandchecks
Brand: Compuchecks
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