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Feature

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

Description

Pack of 100 sheets