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Health Insurance Claim Forms: HCFA Form CMS-1500
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NEW HCFA Form CMS-1500 02/12 Laser - Version 02/12
Item 07106: 24lb
- Item: CFA N / CMS-1500
- Format: Laser Form CMS-1500
- Type: Laser One Part
- Size: 8-1/2" X 11"
- Weight: 24#
- Version: 02/12
- Medicare began accepting Version 02/12 on 1/06/14. On 04/04/14 only Version 02/12 will be accepted.