Description
Simple-to-read, government-approved form helps you fill out CMS claims Centers for Medicare and Medicaid Services (CMS) claim form. Compatible with laser printers. Features the American Medical Association approved format, revised 2/2012. 20-lb...
More Information
| RevType | 2 |
| Manufacturer | TOPS |
| Sku | 562817 |
| Identity | 37056620914 |