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  Home > MEDICAL > Medical Forms > CMS, UB-04,ADA-Medical Claim > CMS 1500 Claim Forms >

New 2012 CMS-1500 Insurance Claim Form
CMS-1500 Laser Part Form (02/12)


 
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Unit Qty: 250
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Product Code: CMSLC-250-12
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Description Freight, Returns & Sales Tax Policies
 
New (02/12)CMS-1500 Form
8 1/2" x 11" for laser or inkjet printers
Printed in red, OCR scannable ink in compliance with government standards

The new CMS-1500 (02/12) Health Insurance Claim Form accommodates the reporting of the National Provider Identifier. This new version replaces the old CMS-1500 (08/05) version.

Barcoding is no longer a part of this form.
Features
  • 8-1/2” x 11”H




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