Expedite Medicare, Medicaid or private insurance benefits. NUCC, CMS and AMA approved format. (02/12) version. Printed front and back in red OCR ink for scanning. For Laser Printers.

In stock
  • Color
  • White
  • Gtin
  • 00025932513503
  • Mpn
  • 50135RV
  • Condition
  • new