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

SKU: B018R72C76 (Updated 2022-02-26)

Price:

US$ 14.19

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Description

Features & details

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

EAN: 0646437575973

Manufacturer: Next Day Labels

Brand: Next Day Labels

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