New CMS 1500 Claim Forms - HCFA (Version 02/12) 100 per Ream

Features

  1. 1-Part 8-1/2" X 11" Laser Form CMS-1500 printed in red ink
  2. Required for health-care providers to bill a patient's insurance company for reimbursement.
  3. New Version 02/12 (APPROVED OMB-0938-1197)
  4. Medicare now accept this Version 02/12 only.
  5. For Laser and Inkjet Printers, Made in USA by Next Day Labels TM

Images

  1. New CMS 1500 Claim Forms - HCFA (Version 02/12) 100 per Ream Photo #1
  2. New CMS 1500 Claim Forms - HCFA (Version 02/12) 100 per Ream Photo #2
  3. New CMS 1500 Claim Forms - HCFA (Version 02/12) 100 per Ream Photo #3
  4. New CMS 1500 Claim Forms - HCFA (Version 02/12) 100 per Ream Photo #4
  5. New CMS 1500 Claim Forms - HCFA (Version 02/12) 100 per Ream Photo #5
  6. New CMS 1500 Claim Forms - HCFA (Version 02/12) 100 per Ream Photo #6

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