NEW CMS 1500 Claim Forms - HCFA (Version 02/12) (100 Sheets)<div style="text-align: left;"><strong>[Product Information]</strong><br><ul><li>1-Part Laser Form CMS-1500 printed in red ink</li><li>New Version 02/12 (APPROVED OMB-0938-1197)</li><li>Since 04/04/14 Medicare only accept this NEW Version.</li><li>Size: 8-1/2" X 11"</li><li>For Laser and Inkjet Printers</li></ul></div><img src="http://ecx.images-amazon.com/images/I/31Fi8SZe8SL.jpg" noproxy>