NextDayLabels CMS 1500 / HCFA 1500 Insurance Claim Forms, 100 Sheets
Product Description
NextDayLabels CMS 1500 / HCFA 1500 Insurance Claim Forms, 100 Sheets
- 1-Part 8-1/2" X 11" Laser Form CMS-1500 printed in red ink
- Required for health-care providers to bill a patient's insurance company for reimbursement.
- New Version 02/12 (APPROVED OMB-0938-1197)
- Medicare now accept this Version 02/12 only.
- For Laser and Inkjet Printers, Made in USA by Next Day Labels TM
Pack of 100 sheets
Technical Specifications
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(Pack of 500) CMS 1500 Forms, HCFA 1500 Forms, Health Insurance Claim Form, Medicare Claims for Taxes, CMS 1500 Claim Forms 02/12