CMS 1500 HCFA Health Insurance Claim Forms (Version 02/12) 500 Forms CM44

Description

CMS-1500 Laser Printer Medical Claims Form ver 02/12 500 sheet pack.
1-Part Laser Form CMS-1500 printed in red ink
New Version 02/12 (APPROVED OMB-0938-1197)
Medicare began accepting this Version 02/12 on 1/06/14. Starting 04/04/14 Medicare will accept this Version 02/12 only.
Size: 8-1/2" X 11"
For Laser and Inkjet Printers
CM44