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Centers For Medicare And Medicaid Services Claim Forms, Cms1500-hcfa1500, 1-page, 3,000 Forms-carton

TOPS™
ESTOP50122RV
3 In stock
Office
$154.32
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.  Ship Class Code: M Special Features: Continuous Form Total Recycled Content Percent: 0% Post-Consumer Recycled Content Percent: 0% Pre-Consumer Recycled Content Percent: 0% Print and Ruling Color(s): OCR Red Paper Color(s): White...
$154.32
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.

 

  • Ship Class Code: M
  • Special Features: Continuous Form
  • Total Recycled Content Percent: 0%
  • Post-Consumer Recycled Content Percent: 0%
  • Pre-Consumer Recycled Content Percent: 0%
  • Print and Ruling Color(s): OCR Red
  • Paper Color(s): White
  • Paper Stock: 20 lb
  • Printer Compatibility: Dot Matrix
  • Punching: Dot Matrix Pin Feed Holes
  • Layout: One Form per Sheet
  • Principal Heading(s): 1500 Health Insurance Claim Form
  • Form Quantity: 3,000
  • Forms Per Page: 1
  • Form Size: 8.5 x 11
  • Global Product Type: Forms-Insurance"
Centers For Medicare And Medicaid Services Claim Forms, Cms1500-hcfa1500, 1-page, 3,000 Forms-carton
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