Claim Form CMS-1500 or HCFA-1500 is a 1-part form; it has already been authorized by Medicare and Medicaid Services to meet all insurance claim requirements. This is a standard form.
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Medicaid Claim Form Laser 1 Part
From:
$45.00
Weight
12 lbs
Dimensions
1 × 2 × 3 in
Quantity
500, 1000
Paper Type
1 part (white only)
Jan 03, 2013
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Jan 02, 2013
Nai S.
My first time, price is excellent! Can't wait to get my order.
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