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    CMS 1500 Claim Forms - HCFA (Version 02/12) (1000 Sheets; Laser/Inkjet Printer)

    • 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"; Weight: 24# Paper
    • 1000 SHEETS For Laser and Inkjet Printers
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    Overview
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    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"; Weight: 24# Paper
    1000 SHEETS For Laser and Inkjet Printers

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    Warranty, Returns, And Additional Information

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