NEW CMS 1500 HCFA Health Insurance Claim Forms (Version 02/12) 500 Forms
USD 25.44 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 |
| Brand | linco |
| MPN | cm44 |
| Type | health claim form |
CMS-1500 Laser Printer Medical Claims Form ver 02/12 500 sheet pack.1-Part Laser Form CMS-1500 printed in red inkNew 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