CMS-1500 Laser Printer Medical Claims Form - 2500 Sheets, Revised 02/12
CMS-1500 Laser Printer Medical Claims Form - 2500 Sheets, Revised 02/12
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CMS-1500 Laser Printer Medical Claims Form - 2500 Sheets, Revised 02/12

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  • Approved CMS-1500 form (02/12) to replace the previous CMS form (08/05)
  • Fully updated with the latest revisions, the new CMS-1500 form is 100% compliant and printed to exact specifications for layout, paper and ink.
  • Carbonless bond paper for jam-free performance and are printed in OCR-scannable red ink
  • 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). Payers will begin to accept these forms starting January 6th, 2014. And will only accept this version as of April 1st, 2014
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