NEW CMS 1500 Claim Forms - HCFA (Version 02/12) 100 per Ream<div style="text-align: left;"><strong>[Product Information]</strong><ul><li id="replacementPartsFitmentBullet" class="aok-hidden" data-doesntfitmessage="We're not sure this item fits your " data-fitsmessage="This fits your "><span class="a-list-item"><span id="replacementPartsFitmentBulletInner"><a href="#" class="a-link-normal hsx-rpp-fitment-focus">Enter your model number</a>to make sure this fits.</span></span></li><li><span class="a-list-item"> 1-Part 8-1/2" X 11" Laser Form CMS-1500 printed in red ink </span></li><li><span class="a-list-item"> Required for health-care providers to bill a patient's insurance company for reimbursement. </span></li><li><span class="a-list-item"> New Version 02/12 (APPROVED OMB-0938-1197) </span></li><li><span class="a-list-item"> Medicare now accept this Version 02/12 only. </span></li><li><span class="a-list-item"> For Laser and Inkjet Printers， Made in USA by Next Day Labels TM </span></li></ul></div><img src="http://ecx.images-amazon.com/images/I/5176KQ4jE%2BL.jpg" noproxy><img src="http://ecx.images-amazon.com/images/I/51tJKBI3cfL.jpg" noproxy>