CMS 1500 Claim Forms "NEW" HCFA (Version 02/12) - Health Insurance, Laser Cut Sheet - 25 Sheets
$12.99
Description
APPROVED OMB-0938-1197 (Version 02/12).1-Part Laser Form CMS-1500 printed in red ink.For Laser and Inkjet Printers.Size: 8-1/2" X 11".25 Sheets