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9 1/2" x 11" continuous feed for dot matrix printers
2 part, white/canary
Printed in red, OCR scannable ink in compliance with government standards
The new CMS-1500 (08/05) Health Insurance Claim Form, often referred
to as the HCFA-1500, now accommodates the reporting of the National
Provider Identifier. This new version replaces the old HCFA 12/90
version.
1000/box
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