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    CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 100 Forms Total

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    Quick Overview

    • Meet billing requirements for Medicare Part B.
    • Easy-to-read forms for faster claims processing.
    • Comply with CMS standards and requirements for paper, layout and ink.
    • Printed in scannable, dropout OCR red ink.
    • Include all 02/12 NUCC revisions, replacing the previous 08/05 version.
    • Item #:  TFP650657

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