
Laser Health Insurance Claim Form, 2PK
Mfr # CMS1500L2V
Zoro # G316522699
product price:Â $101.99
/pk 2, $51.00/ea
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Specifications
Product Information
MFR #
CMS1500L2V
Zoro #
G316522699
UPC #
87958150025
Country of Origin
China
Description
Features -CMS-1500 health insurance claim form -Printed in OCR red ink for scanning -Approved by CMS NUCC and OMB -Laser compatible -2 packs of 250 per carton -Dimension - 11 x 8.5 x 1 in. -Paper Weight - 20 lbs. -Form Ink Color - Red -Product Language - English Only -Forms Per Page - 1 -Color - White
Restrictions
WARNING:
Cancer and Reproductive Harm
For more information go to
www.P65Warnings.ca.gov
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