Paris Corporation CMS 02/12 Insurance Claim Form, 2-Part, White/White, 9 1/2 x 11, 1000 Forms

Expedite Medicare, Medicaid or private insurance claims processing. Forms meet all Federal regulations. Formerly known as HCFA-1500 forms.

Expedite Medicare, Medicaid or private insurance claims processing. Forms meet all Federal regulations. Formerly known as HCFA-1500 forms. Model Number: 05104