New CMS 1500 Claim Forms – HCFA (Version 02/12) (500 Sheets)

December 15, 2021 - Comment

Price: (as of – Details) 1-Part Laser Form CMS-1500 printed in red inkNew Version 02/12 (APPROVED OMB-0938-1197)Medicare began 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″For Laser and Inkjet Printers


Price: $20.97
(as of May 16,2026 01:18:04 UTC – Details)




1-Part Laser Form CMS-1500 printed in red ink
New Version 02/12 (APPROVED OMB-0938-1197)
Medicare began 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″
For Laser and Inkjet Printers

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