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Contact our U.S. based teamSpecifications
Product Information
MFR #
50135R
Zoro #
G5883897
UPC #
025932513503
Country of Origin
United States
Dimensions
Form Size
8.5 x 11
Details
Item
Medicare and Medicaid ServicesForm,PK250
Paper Color
White
Style
Forms
Number of Duplicates
One-Part (No Copies)
Features
Laser Printer Compatible
Number of Sheets
1 Form per Page
Print and Ruling Color
OCR Red
Principal Heading(s)
1500 Health Insurance Claim Form
Dated/Undated
Undated
Paper Stock
20 lb Bond
Printer Compatibility
Laser
Number of Forms
250
Format Indicator
Unbound
Description
Medicare and Medicaid ServicesForm,PK250, Package Quantity 250
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