New CMS-1500 02/12 Claim Form (25 forms)

New CMS-1500 02/12 Claim Form (25 forms)
- 25 Forms - - 02/12 Version
- All forms are government approved CMS-1500 to serve federal programs and private insurers as a universal claim form
- Approved OMB-0938-1197 (02/12).
1 Part Laser (25 Single Sheets - for Laser/Inkjet Printers). 02/12 Version.......... Both CMS and the NUCC have issued their transition timelines, affecting providers that accept government and private insurance. Please check with your Payer / Insurance Companies
Country USA
Manufacturer Compliance Information Systems
Binding Office Product
ItemPartNumber CMS
Model CMS25
ReleaseDate 0000-00-00

Country	USA
Manufacturer	Compliance Information Systems
Binding	Office Product
ItemPartNumber	CMS
Model	CMS25
ReleaseDate	0000-00-00