New CMS 1500 Claim Forms - 3,500 Sheets (02/12 Version) for Laser or Inkjet Printers by Jaxplaza
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$108.99
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Product Description
02/12 Version. (3,500 Sheets) The Centers for Medicare and Medicaid Services (CMS) healthcare forms are required for all federal insurance claims and many private healthcare organizations. Payers will begin to accept these forms starting January 6th, 2014. And will only accept this version as of Oct 1st, 2015
• APPROVED OMB-0938-1197 (Version 02/12)
• 1-Part Laser Form CMS-1500 printed in red ink
• For Laser and Inkjet Printers
• Size: 8-1/2" X 11"; Weight: 24# Paper
• 3,500 Sheets
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