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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: 
$
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

Dimensions

Sheet Size
8-1/2 in x 11 in

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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