Centers for Medicare and Medicaid Services Forms, 8 1/2 x 11, 500 Forms/Pack

Description

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. Form Size: 2 x 8 1/2; Forms Per Page: 1; Form Quantity: 500; Principal Heading(s): 1500 Health Insurance Claim Form.