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CMS-1500 Medicare/Medicaid Forms for Laser Printers, One-Part (No Copies), 8.5 x 11, 500 Forms Total
Expedite Medicare, Medicaid or private insurance benefits. NUCC, CMS and AMA approved format. (02/12) version. Printed front and back in red OCR ink for scanning.
Unit of Measure: PK
Assembly Effort: None
Manufacturer Part Number: 50126RV
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