New CMS-1500 Insurance Claim Forms, HCFA (Version 02/12) - 1 CASE (2500 Sheets/Forms)

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