NEW CMS 1500 HCFA Health Insurance Claim Forms (Version 02/12) 500 Forms
USD 27.99 USD
Specifications
| 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 |
| Country/Region Of Manufacture | United States |
| MPN | N1ACMS15005C |
| Brand | Nordisco |
New Health insurance claim form, for use starting January 6, 2014. Pack of 500 HCFA CMS-1500 claim forms comply with current physicians' standards for expediting Medicare and Medicaid payments. Each meets requirements of the Centers for Medicare and Medicaid Services, Champus and the AMA Council of Medical Service. Front and back are printed in red OCR ink on white 20 lb. bond. Forms are compatible with laser printers. Approved OMB-0938-1197 Form 1500 (02-12).