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NEW CMS 1500 Claim Forms - HCFA (Version 02/12) (500 Sheets)

Brand: Compuchecks
Product Code: IM31027
Condition: Brand New
Rs. 9,560
Order All over Pakistan
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Product Detail

Specifications:

  • 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

product images

UPC 090146171061
Model 7106
EAN 0090146171061
Category Office Product
ASIN B00HNDPJMQ