Nextdaylabels

CMS 1500 / HCFA 1500 Insurance Claim Forms - Laser/Ink-Jet Compatible (New Version 02/12) Letter Size 8-12" x 11", 100 Sheets Per Pack

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Description

  • 1-Part 8-1/2" X 11" Laser Form CMS-1500 printed in red ink
  • Required for health-care providers to bill a patient's insurance company for reimbursement.
  • New Version 02/12 (APPROVED OMB-0938-1197)
  • Medicare now accept this Version 02/12 only.
  • For Laser and Inkjet Printers, Made in USA by Next Day Labels TM

Pack of 100 sheets

Technical Specifications
Manufacturer
Next Day Labels
Model
DNT-15238
Color
Red
Size
100
Height
1.8 cm
Length
27.7 cm
Width
21.3 cm
Shipping & Delivery

Your order is shipped from the USA and delivered to your door in South Africa in 10–20 working days. All items are fully tracked.

Returns & Exchanges

We offer a 30-day return window. If something isn't right, contact our support team and we'll make it right.