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New Laser CMS-1500 (08/05) Form
8-1/2”W x 11”H snap apart form and is a two part form.
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.
Barcoding is no longer a part of this form.
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