Compuchecks New Cms 1500 Claim Forms – Hcfa (Version 02/12) (500 Sheets), 7106
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1-Part Laser Form CMS-1500 printed in red ink
New Version 02/12 (APPROVED OMB-0938-1197)
$20.89
The Centers for Medicare and Medicaid Services (CMS) healthcare forms are required for all federal insurance claims and many private healthcare organizations. These preprinted and cut size forms speed up claims processing. New Version 02/12: Medicare will begin accepting this Version 02/12 on 1/06/14. Starting 04/04/14 Medicare will accept this Version 02/12 only.
Make sure this fitsby entering your model number.
1-Part Laser Form CMS-1500 printed in red ink
New Version 02/12 (APPROVED OMB-0938-1197)
Medicare began 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″
For Laser and Inkjet Printers
Specification: Compuchecks New Cms 1500 Claim Forms – Hcfa (Version 02/12) (500 Sheets), 7106
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