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Get it between 2024-12-03 to 2024-12-10. Additional 3 business days for provincial shipping.
1-Part Laser Form CMS-1500 printed in red ink
New Version 02/12 (APPROVED OMB-0938-1197)
Medicare will begin 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"; Weight: 24# Paper
For Laser and Inkjet Printers
The Centers for Medicare and Medicaid Services (CMS) healthcare forms are required for all federal insurance claims and many private healthcare organizations. These preprinted and cut size forms speed up claims processing. New Version 02/12: Medicare will begin accepting this Version 02/12 on 1/06/14. Starting 04/04/14 Medicare will accept this Version 02/12 only.