Health Insurance Claim Forms: HCFA Form CMS-1500 & UB-04 Forms

Item: HCFA 1 / CMS-1500
Format: Laser Form CMS-1500
Type: One Part for pin feed printer
Size: 8-1/2&quot; X 11&quot;
Weight: 20#

Orders Are Shipped Within 2 business days

NEW HCFA CMS 1500 Laser Forms - Version 02/12
	Description: Item: HCFA 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.	Select Quantity: 50 sheets Overnight for 25.99 100 Sheets for $12.75 250 Sheets for $15.75 500 Sheets for $20.89 1000 Sheets for $39.90 2500 Sheets for $53.90 5000 Sheets for $99.90
HCFA CMS 1500 Continuous 1-Part
	Description: Item: HCFA 1 / CMS-1500 Format: Laser Form CMS-1500 Type: One Part for pin feed printer Size: 8-1/2" X 11" Weight: 20#		Select Quantity:
HCFA CMS 1500 Continuous 2-Part
	Description: Item: HCFA 2 / CMS-1500 Format: Continuous (Duplicate) Type: Two Part for pin feed printer Size: 8-1/2" X 11" Weight: White 20# and Canary 15#		Select Quantity:






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