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Insurance Claim Forms

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

R 5,253

or 4 x payments of R1,313.25 with Payflex

Payflex

Availability: Currently in Stock

Delivery: 10-20 working days

Please be aware orders placed now will not arrive in time for Christmas, please check delivery times.

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
Country USA
Brand LINCO
Manufacturer Linco
Binding Office Product
ItemPartNumber HCFACS2500
Color White
UPCs 605608567766
EANs 0605608567766
ReleaseDate 0000-00-00

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