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Insurance Claim Forms

New CMS 1500 Claim Forms - HCFA (Version 02/12) 250 per Ream

R 1,340

or 4 x payments of R335.00 with Payflex

Payflex

Availability: Currently in Stock

Delivery: 10-20 working days

This item may be available in a different size, colour, scent, version or platform:

Variations

New CMS 1500 Claim Forms - HCFA (Version 02/12) 250 per Ream
- 1-Part 8-1/2" X 11" Laser Form CMS-1500 printed in red ink
- Required for health-care providers to bill a patient's insurance company for reimbursement.
- New Version 02/12 (APPROVED OMB-0938-1197) Medicare now accept this Version 02/12 only.
- Made in USA by Next Day Labels TM
- 250 sheets per pack
Country USA
Brand NextDayLabels
Manufacturer Next Day Labels
Binding Office Product
ItemPartNumber HCFA1500-250
Model HCFA1500-250
Size 250
ReleaseDate 0000-00-00