NEW CMS 1500 Claim Forms - HCFA (Version 02/12)
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<b>[Product Information]</b><br>
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<li>1-Part Laser Form CMS-1500 printed in red ink</li>
<li>New Version 02/12 (APPROVED OMB-0938-1197)</li>
<li>Medicare began accepting this Version 02/12 on 1/06/14. Starting 04/04/14 Medicare will accept this Version 02/12 only.</li>
<li>Size: 8-1/2" X 11"</li>
<li>For Laser and Inkjet Printers</li>
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