New CMS 1500 Claim Forms - HCFA Version 02/12 - 1500 Sheets

NEW CMS 1500 Health Insurance Claim Forms Approved 02/12 - 1500 SHEETS 1-Part Laser Form CMS-1500 Printed in Red Ink New Version 02/12 APPROVED OMB-0938-1197 Size 8-1/2" x 11" for Laser and Inkjet Printers