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New CMS 1500 Claim Forms - HCFA (Version 02/12) (2500 Sheets)

New CMS 1500 Claim Forms - HCFA (Version 02/12) (2500 Sheets)

Product ID: 1053813 Condition: New

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Selected Option: 2500
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R 5,114
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Delivery: 10-20 working days
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Product 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

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.

Technical Specifications

Country
USA
Brand
Compuchecks
Manufacturer
Compuchecks
Binding
Office Product
ItemPartNumber
FBA_6505
Model
07106
Size
2500
UPCs
090146071064
EANs
0090146071064

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