CMS-1500 Laser Printer Medical Claims Form ver 02/12 500 sheet pack.

• 1-Part Laser Form CMS-1500 printed in red ink
• New Version 02/12 (APPROVED OMB-0938-1197)
• Medicare began accepting this Version 02/12 on 1/06/14. Starting 04/04/14 Medicare will accept this Version 02/12 only.
• Size: 8-1/2" X 11"
• For Laser and Inkjet Printers