New CMS 1500 Claim Forms - HCFA (Version 02/12) (100 Sheets)
Product ID: 47427490
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12 interest-free installments with tabby
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Description
- 1-Part Laser Form CMS-1500 printed in red ink
- New Version 02/12 (APPROVED OMB-0938-1197)
- Since 04/04/14 Medicare only accept this NEW Version.
- Size: 8-1/2" X 11"
- For Laser and Inkjet Printers
100 Sheets Per Pack
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