Cms-1500 Health Insurance Claim Form (02/12) Laser Cut Sheet (10/package)

US $79

  • Duson, Louisiana, United States
  • Jun 9th
10 CMS forms.  These are the new 02/12 forms. Details for title: CMS 1500 Form #CMS 1500Form TitleHealth Insurance Claim FormRevision Date2012-02-01O.M.B. #0938-1197O.M.B. Expiration Date2016-06-30CMS ManualN/ASpecial InstructionsStarting April 1, 2014 only the revised, 02-12 version will be accepted.

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