Description: CMS-1500 Laser Printer Medical Claims Form ver 02/12 500 sheet pack.1-Part Laser Form CMS-1500 printed in red inkNew 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
Price: 25.44 USD
Location: Meridian, Georgia
End Time: 2024-08-01T18:30:03.000Z
Shipping Cost: 0 USD
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Item Specifics
Restocking Fee: 20%
Return shipping will be paid by: Buyer
All returns accepted: Returns Accepted
Item must be returned within: 30 Days
Refund will be given as: Money Back
Brand: linco
MPN: cm44
Type: health claim form