---
product_id: 37170624
title: "New CMS 1500 Claim Forms - 50 Sheets (02/12 Version) for Laser or Inkjet Printers"
brand: "jaxplaza"
price: "₩55813"
currency: KRW
in_stock: true
reviews_count: 3
url: https://www.desertcart.kr/products/37170624-new-cms-1500-claim-forms-50-sheets-02-12-version
store_origin: KR
region: South Korea
---

# New CMS 1500 Claim Forms - 50 Sheets (02/12 Version) for Laser or Inkjet Printers

**Brand:** jaxplaza
**Price:** ₩55813
**Availability:** ✅ In Stock

## Quick Answers

- **What is this?** New CMS 1500 Claim Forms - 50 Sheets (02/12 Version) for Laser or Inkjet Printers by jaxplaza
- **How much does it cost?** ₩55813 with free shipping
- **Is it available?** Yes, in stock and ready to ship
- **Where can I buy it?** [www.desertcart.kr](https://www.desertcart.kr/products/37170624-new-cms-1500-claim-forms-50-sheets-02-12-version)

## Best For

- jaxplaza enthusiasts

## Why This Product

- Trusted jaxplaza brand quality
- Free international shipping included
- Worldwide delivery with tracking
- 15-day hassle-free returns

## Description

New CMS 1500 Claim Forms - 50 Sheets (02/12 Version) for Laser or Inkjet Printers

## Features

- Approved CMS-1500 form (02/12) to replace the previous CMS form (08/05)
- Fully updated with the latest revisions, the new CMS-1500 form is 100% compliant and printed to exact specifications for layout, paper and ink.
- Carbonless bond paper for jam-free performance and are printed in OCR-scannable red ink
- All forms are government approved CMS-1500 to serve federal programs and private insurers as a universal claim form.
- Approved OMB-0938-1197 (02/12). Payers will begin to accept these forms starting January 6th, 2014. And will only accept this version as of April 1st, 2014

## Images

![New CMS 1500 Claim Forms - 50 Sheets (02/12 Version) for Laser or Inkjet Printers - Image 1](https://m.media-amazon.com/images/W/WEBP_402378-T2/images/I/316uyg8F0FL.jpg)
![New CMS 1500 Claim Forms - 50 Sheets (02/12 Version) for Laser or Inkjet Printers - Image 2](https://m.media-amazon.com/images/W/WEBP_402378-T2/images/I/317BE08J9xL.jpg)

## Customer Reviews

### ⭐⭐⭐⭐⭐ 







  
  
    Perfect size pack for the small office
  

*by P***A on Reviewed in the United States 🇺🇸 on April 2, 2014*

I needed a few of these new HCFA1500 forms to test programming changes and did not want to buy packs of 100 or 1000.  These were perfect.  They were inexpensive and came quickly in the mail and are the correct form.  If I need more, I will certainly buy them again.

### ⭐⭐⭐⭐⭐ 







  
  
    Special forms
  

*by G***2 on Reviewed in the United States 🇺🇸 on November 26, 2013*

Forms are fine - what is there to say about forms for Medicare.  I just love them.  I hope I will need more.

### ⭐ 







  
  
    OK
  

*by B***H on Reviewed in the United States 🇺🇸 on October 20, 2014*

I bought these for my job - #wise a rip off

---

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**Shop now:** [https://www.desertcart.kr/products/37170624-new-cms-1500-claim-forms-50-sheets-02-12-version](https://www.desertcart.kr/products/37170624-new-cms-1500-claim-forms-50-sheets-02-12-version)

---

*Product available on Desertcart South Korea*
*Store origin: KR*
*Last updated: 2026-02-21*