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25 Sheets - (CMS1500 02/12 Version) Laser Printer
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Shipping: US-Mainland: free (more destinations)
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Condition: Brand new
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Approved CMS-1500 form (02/12) to replace the previous CMS form (08/05).
Approved OMB-0938-1197 (02/12). Payers will begin to accept these forms starting January 6th, 2014. And will only accept this version as of April 1st, 2014
Approved OMB-0938-1197 (02/12). Payers will begin to accept these forms starting January 6th, 2014. And will only accept this version as of April 1st, 2014
