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New CMS 1500 Claim Forms - HCFA (Version 02/12) 500 per Ream
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Pack of 500 Sheets - New Health Insurance Claim Forms, 2012 Approved Version
1-Part 8-1/2" X 11" Laser Form CMS-1500, Printed in Red Ink
Required for Healthcare Providers to Bill Patients' Insurance Companies for Reimbursement
Latest HCFA / CMS 1500 Claim Form (Approved OMB-0938-1197)
Made in the USA by Next Day Labels TM - 100% Guaranteed
