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100 duplicating set CMS 1500 / HCFA 1500 claim form
100 duplicating set CMS 1500 / HCFA 1500 claim form
100 duplicating set CMS 1500 / HCFA 1500 claim form
Item#: 2HCFA1500U100
$19.95
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Product Description
100 duplicating set CMS 1500 / HCFA 1500 claim forms. When you fill out the claim a copy is created on the second sheet below for your files. Specify the new version (02/12) or old version (08/05) under Version. There is no difference in price. Price includes shipping to any address in 50 states and sales tax (if applicable).