Description
New Medicare Approved (04/14) HCFA Insurance Claim Form Version (02/12), OMB-0938-1197
1-Part Laser Form, Front & Back in Red Ink, CMS-1500
Size: 8.5″ x 11″, White 24-lb Paper
Standard Form Designed for Laser & Inkjet Printers
Package of 100 Sheets / Forms, Made in USA – Linton Mailing Supplies






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