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New CMS 1500 Claim Forms - HCFA (Version 02/12) (2500 Sheets)
1-Part Laser Form printed in red ink New Version 02/12 (APPROVED Medicare will begin accepting this Version 02/12 on Starting Medicare will accept this Version 02/12 only. Size 8-1/2 X 11 ; Weight 24# Paper For Laser and Inkjet Printers Manufacturer Compuchecks, Brand Compuchecks, Weight 26.8 pounds, Dimensions 8 x 12 x 11 inches, model number 07106, Is Discontinued No, Material Type Paper, Size 2500 Sheets, Manufacturer Part Rank Office Products Health Insurance Claim Forms 25, Available March 6, 2014

Price is $89.00
Price: $88.79