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

Features

  1. 1-Part Laser Form CMS-1500 printed in red ink
  2. New Version 02/12 (APPROVED OMB-0938-1197)
  3. Medicare began accepting this Version 02/12 on 1/06/14. Starting 04/04/14 Medicare will accept this Version 02/12 only.
  4. Size: 8-1/2" X 11"
  5. For Laser and Inkjet Printers

Images

  1. New CMS 1500 Claim Forms - HCFA (Version 02/12) (500 Sheets) Photo #1
  2. New CMS 1500 Claim Forms - HCFA (Version 02/12) (500 Sheets) Photo #2
  3. New CMS 1500 Claim Forms - HCFA (Version 02/12) (500 Sheets) Photo #3
  4. New CMS 1500 Claim Forms - HCFA (Version 02/12) (500 Sheets) Photo #4
  5. New CMS 1500 Claim Forms - HCFA (Version 02/12) (500 Sheets) Photo #5
  6. New CMS 1500 Claim Forms - HCFA (Version 02/12) (500 Sheets) Photo #6
  7. New CMS 1500 Claim Forms - HCFA (Version 02/12) (500 Sheets) Photo #7

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