New CMS-1500 02/12 Claim Form (25 forms)

New CMS-1500 02/12 Claim Form (25 forms)

Key features

  • 25 Forms - - 02/12 Version
  • All forms are government approved CMS-1500 to serve federal programs and private insurers as a universal claim form
  • Approved OMB-0938-1197 (02/12).

New CMS-1500 02/12 Claim Form (25 forms)

List Price: $28.01$25.21DEALYou Save: $2.80 (10%)
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