CMS-1500 (08/05) Laser Cut Sheet (500/case)
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2022-05-20
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CMS-1500 (08/05) Laser Cut Sheet (500/case)

These are the NEW CMS 1500 forms (HCFA 1500 form) mandated by the U.S. Centers for Medicare and Medicaid Services (CMS) to be in use by July 1, 2007, adding the split provider identifier fields for NPI numbers

  • TitleCMS-1500 (08/05) Laser Cut Sheet (500/case)
  • BrandMMIZOO
  • ManufacturerMMIZOO
  • BindingOffice Product
  • ProductGroupOffice Product
  • ItemPartNumberCMSLC500