5 Case HCFA CMS-1500 (02-12) 12,500 SHEETS LASER INSURANCE HCFA CLAIM FORMS
USD 330.13 USD
Specifications
| Restocking Fee | 20% |
| Return Shipping Will Be Paid By | Buyer |
| All Returns Accepted | Returns Accepted |
| Item Must Be Returned Within | 30 Days |
| Refund Will Be Given As | Money Back |
| MPN | cm44 |
| Country/Region Of Manufacture | United States |
| Model | CMS-1500 |
| Brand | Unbranded//Generic |
NEW CMS 1500 Claim Forms - HCFA (Version 02/12) (12,500 Sheets) 5 case of 25001-Part Laser Form CMS-1500 printed in red inkNew 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# PaperFor Laser and Inkjet Printers
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