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New 2014 HCFA Form, One Part.

Is the latest approved NUCC claim form replacing CMS-1500 version 08/05.

Accommodates reporting of NPI Designed for processing on high speed OCR Scanning equipment Printed in red "dropout" ink 20# Environmental Paper Alliance (EPA) Recycled Paper (White).

Case of 2500.

size chest(in.) waist(in.) hips(in.)
XS 34-36 27-29 34.5-36.5
S 36-38 29-31 36.5-38.5
M 38-40 31-33 38.5-40.5
L 40-42 33-36 40.5-43.5
XL 42-45 36-40 43.5-47.5
XXL 45-48 40-44 47.5-51.5
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