New CMS 1500 Claim Forms - HCFA (Version 02/12) 100 per Ream 1500Ream 8-1/2 x 11 (Letter Size)

8-1/2 x 11 (Letter Size) sheet with 1 perf at 3-1/4" from bottom

Blue Fluorescent Label High-Quality Labels with Strong Permanent Adhesive

#7 Coin Brown Kraft Gummed Envelopes

This is the new approved form that Medicare accepts

Book Covers

New CMS 1500 Claim Forms - HCFA (Version 02/12) 100 per Ream 1500Ream 8-1/2 x 11 (Letter Size)Pack of 100 sheets 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