TFP CMS-1500 Health Insurance Claim Form; Laser-Cut Sheet 116719 CMS12LC1

Sold as 1 Each. Includes QR code identifier at the top of the form that supports and aligns with Industry scanning systems. Form not available personalized. 02/12 Version. Printed with OCR 'dropout' red ink on 20lb. paper (per government regulations). Satisfy record-keeping requirements with these health insurance claim forms. 8-1/2' x 11'. Include... mores new QR code identifier at the top of the form that supports and aligns with Industry scanning systems. For use by all medical facilities. Form featu