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Centers for Medicare and Medicaid Services Claim Forms, CMS1500/HCFA1500, 8.5 x 11, 500 Forms/Pack1

Centers for Medicare and Medicaid Services Claim Forms, CMS1500/HCFA1500, 8.5 x 11, 500 Forms/Pack

Manufacturer: TOPS BUSINESS FORMS
SKU: TOP50126RV
Manufacturer part number: 50126RV
Vendor: S.P. Richards
MSRP: $71.47
$54.12
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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. Form Size: 8.5 x 11; Forms Per Page: 1; Form Quantity: 500; Principal Heading(s): 1500 Health Insurance Claim Form.
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. Form Size: 8.5 x 11; Forms Per Page: 1; Form Quantity: 500; Principal Heading(s): 1500 Health Insurance Claim Form.
Products specifications
Attribute nameAttribute value
Global Product TypeForms-Insurance
Special FeaturesFor Laser Printers
Principal Heading(s)1500 Health Insurance Claim Form
Print and Ruling Color(s)OCR Red
Printer CompatibilityLaser
Paper Stock20 lb
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Products specifications
Attribute nameAttribute value
Global Product TypeForms-Insurance
Special FeaturesFor Laser Printers
Principal Heading(s)1500 Health Insurance Claim Form
Print and Ruling Color(s)OCR Red
Printer CompatibilityLaser
Paper Stock20 lb
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