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CMS-1500

Part Number: WCMS1500CS
Price2+5+
$21.95$9.95$8.95

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.

1-part laser

500/pk

CMS-1500
Click to enlarge
Quantity in Stock: -2
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