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
lbs
Dimensions
1 × 2 × 3 in
Quantity
500, 1000
Paper Type
1 part (white only)
May 09, 2013
Anonymous Customer
May 08, 2013
Anonymous Customer
May 08, 2013
Anonymous Customer
May 08, 2013
george nomikos
very easy to order
May 08, 2013
diego lopez
really easy and practical...and mostimportant great price
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