5000 single sheet CMS 1500 / HCFA 1500 claim form

5000 single sheet CMS 1500 / HCFA 1500 claim form
Item# 1H1500U5000
$226.00
Version: 

Product Description

Single sheet CMS 1500 / HCFA 1500 claim forms 08/05 or 02/12 version. Printed OCR red both sides as required by CMS.