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