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COU ** Centers for Medicare and Medicaid Services Forms, Two-Part, 1500 Forms

COU ** Centers for Medicare and Medicaid Services Forms, Two-Part, 1500 Forms

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$190.64

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** CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medicaid or private insurance benefits. OCR red ink for scanning. Continuous Form. Form Size: 8 1/2 x 11; Forms Per Page: 1.


Item# : SPM775948714
Model # : COUTOP50124R

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WARNING : Cancer and Reproductive Harm - www.p65warnings.ca.gov
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