`-Pack of 500- CMS 1500 Forms HCFA 1500 Forms Health Insurance Claim Form Medicare Claims for Taxes CMS 1500 Claim Forms 02 12

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850002283112
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CMS 1500 forms are the standardized medical billing forms for professional (non-institutional) medical billing of health insurance claims in the United States. Our form is the official CMS 1500 form version is 02/12 in use for non- institutional providers and suppliers to bill Medicare, payers and insurance companies. No other version of the form OMB-0938-0999 form is acceptable to use after April 1, 2014.