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HCFA CMS-2500 (02-12) 2500 SHEETS LASER INSURANCE HCFA CLAIM FORMS
HCFA CMS-2500 (02-12) 2500 SHEETS LASER INSURANCE HCFA CLAIM FORMS
HCFA CMS-2500 (02-12) 2500 SHEETS LASER INSURANCE HCFA CLAIM FORMS
HCFA CMS-2500 (02-12) 2500 SHEETS LASER INSURANCE HCFA CLAIM FORMS

HCFA CMS-2500 (02-12) 2500 SHEETS LASER INSURANCE HCFA CLAIM FORMS

$ 27.03

Availability: 729 in stock
  • Condition: New
  • All returns accepted: Returns Accepted
  • Item must be returned within: 30 Days
  • Refund will be given as: Money Back
  • Restocking Fee: 20%
  • MPN: cm44
  • Return shipping will be paid by: Buyer
  • Product Type: CMS-1500 (02/12) VERSION
  • Brand: Unbranded//Generic

    Description

    NEW CMS 1500 Claim Forms - HCFA (Version 02/12) (2500 Sheets)
    1-Part Laser Form CMS-1500 printed in red ink
    New Version 02/12 (APPROVED OMB-0938-1197)
    Medicare will begin accepting this Version 02/12 on 1/06/14. Starting 04/04/14 Medicare will accept this Version 02/12 only.
    Size: 8-1/2" X 11"; Weight: 24# Paper
    For Laser and Inkjet Printers