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CMS-1500 Laser 1 Part Medical Claims Form

CMS-1500 Laser 1 Part Medical Claims Form

$59.99

CMS-1500 Laser 1 Part Medical Claims Form

  • 1-Part Laser Form CMS-1500 printed in red ink
  • New Version 02/12 (APPROVED OMB-0938-1197)
  • Medicare will begin 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″; Weight: 24# Paper
  • For Laser and Inkjet Printers
  • 2500 Per Carton

Description

CMS-1500 Laser 1 Part Medical Claims Form

Additional information

Weight 27 lbs
Dimensions 11 × 9.5 × .5 in