New CMS 1500 Claim Forms – HCFA (Version 02/12) (500 Sheets)

$20.87

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Price: $20.87
(as of Sep 29,2022 11:10:25 UTC – Details)



The Centers for Medicare and Medicaid Services (CMS) healthcare forms are required for all federal insurance claims and many private healthcare organizations. These preprinted and cut size forms speed up claims processing. New Version 02/12: Medicare will begin accepting this Version 02/12 on 1/06/14. Starting 04/04/14 Medicare will accept this Version 02/12 only.
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) (500 Sheets)

$20.87

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