CMS 1500 Claim Forms "NEW" HCFA (Version 02/12) - Health Insurance, Laser Cut Sheet - 25 Sheets

Features

  1. APPROVED OMB-0938-1197 (Version 02/12)
  2. 1-Part Laser Form CMS-1500 printed in red ink
  3. For Laser and Inkjet Printers
  4. Size: 8-1/2" X 11"
  5. 25 Sheets

Images

  1. CMS 1500 Claim Forms "NEW" HCFA (Version 02/12) - Health Insurance, Laser Cut Sheet - 25 Sheets Photo #1
  2. CMS 1500 Claim Forms "NEW" HCFA (Version 02/12) - Health Insurance, Laser Cut Sheet - 25 Sheets Photo #2

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