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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:ย  $26.19
/pk 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

Product Information

MFR #
TOP50135RV
Zoro #
G501847514
UPC #
25932513503
Country of Origin
United States

Dimensions

Sheet Size
8-1/2 in x 11 in

Details

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.

Restrictions

WARNING: Cancer and Reproductive Harm For more information go to www.P65Warnings.ca.gov

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