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CMS 1500 Claim Form, Laser, 20 lb, 8-1/2"x11", 250/PK, 8PK, WE 250PK
Mfr # TOP50135RV
Zoro # G501847514
product price:Â
$
26.19
/pk of 250, $0.10/ea
Key Features
Sheet Size
8-1/2 in x 11 in
Print Type
Laser
Standards
CMS, NUCC, OMB
Paper Color
White
Basis Weight
20 lb
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Specifications
Details
- MFR #
- TOP50135RV
- Zoro #
- G501847514
- UPC #
- 25932513503
- Country of Origin
- United States
- Print Type
- Laser
- Standards
- CMS, NUCC, OMB
- Paper Color
- White
- Basis Weight
- 20 lb
- Item
- Health Insurance Form
- Print Color
- Red
Description
Health insurance claim forms are in the CMS, NUCC and OMB approved format. They are printed front and back in red OCR ink on white, letter-size, 20 lb. bond for convenient scanning. Forms are compatible with laser printers.