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Health Insurance Claim Forms: HCFA Form CMS-1500 - This is the latest Vrrsion


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NEW HCFA CMS 1500 Laser Forms - Version 02/12

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HCFA Forms
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.

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Prescription/Medical Security Paper

 
 
EZP, Inc.

20-E Robert Pitt Drive
Monsey, NY 10952
Tel. 888.333.3494
Fax 845.356.3654
info@formsandchecks.com

Specialty Blank Laser Paper
Hospital/Medical/Security