Compuchecks
New CMS 1500 Claim Forms - HCFA (Version 02/12) (2500 Sheets)
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Description
- 1-Part Laser Form CMS-1500 printed in red ink
- New Version 02/12 (APPROVED OMB-0938-1197)
- Medicare will begin 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"; Weight: 24# Paper
- For Laser and Inkjet Printers
The Centers for Medicare and Medicaid Services (CMS) healthcare forms are required for all federal insurance claims and many private healthcare organizations. These preprinted and cut size forms speed up claims processing. New Version 02/12: Medicare will begin accepting this Version 02/12 on 1/06/14. Starting 04/04/14 Medicare will accept this Version 02/12 only.
Technical Specifications
Manufacturer
Compuchecks
Model
07106
Size
2500
Height
27.9 cm
Length
20.3 cm
Width
30.5 cm
Shipping & Delivery
Your order is shipped from the USA and delivered to your door in South Africa in 10–20 working days. All items are fully tracked.
Returns & Exchanges
We offer a 30-day return window. If something isn't right, contact our support team and we'll make it right.