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New CMS-1500 02/12 Claim Form (25 forms)

KWD 6
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Special Features

  • 25 Forms - - 02/12 Version
  • All forms are government approved CMS-1500 to serve federal programs and private insurers as a universal claim form
  • Approved OMB-0938-1197 (02/12).

Description

1 Part Laser (25 Single Sheets - for Laser/Inkjet Printers). 02/12 Version.......... Both CMS and the NUCC have issued their transition timelines, affecting providers that accept government and private insurance. Please check with your Payer / Insurance Companies

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