Office Products > Forms, Recordkeeping & Money Handling > Human Resources Forms > Insurance Claim Forms
NEW CMS-1500 Insurance Claim Forms, HCFA (Version 02/12) - 1 CASE (2500 Sheets/Forms)
Product ID: B078RTNBDS
Condition: New
$ 478
includes Duties & VAT
Delivery: 10-20 working days
Ships from USA warehouse.
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Product Description
NEW CMS-1500 Insurance Claim Forms, HCFA (Version 02/12) - 1 CASE (2500 Sheets/Forms)
- 1-Part Laser Form CMS-1500 printed in red ink - Quantity: 2500 Forms
- New Version 02/12 (APPROVED OMB-0938-1197)
- Medicare Accepts Only This Version 02/12 Beginning 04/04/14.
- Size: 8-1/2" x 11"; Weight: 24lb Paper
- Designed For Laser & Inkjet Printers
--universal form for filing insurance claims along with medicare and medicaid claims --02/12 form --ships within 12 to 24 hours
Technical Specifications
Country
USA
Brand
LINCO
Manufacturer
Linco
PartNumber
HCFACS2500
Color
White
Height
9
Length
17
Width
12
