Purchase Order Book, Bottom Punch, 5 1/2 x 7 7/8, 3-Part...
$9.89
Keep a bound copy for a permanent record. Stop card prevents write-through to other form sets. Consecutively numbered in red.
CMS 02/12 Insurance Claim Form, 2-Part, White/Canary, 9 1/2 x 11, 1000 Forms
$169.99
Tax excluded
Expedite Medicare, Medicaid or private insurance claims processing. Forms meet all Federal regulations. Formerly known as HCFA-1500 forms.
PRB07116
42 Items
Data sheet
- Special Features
- Centers for Medicare and Medicaid Services (CMS) Forms
- Footnote 1
- Two-part continuous feed, white/canary. Carbonless
- Paper Color(s)
- White
- Paper Color(s)
- Canary
- Global Product Type
- Forms-Insurance
- Form Size
- 9 1/2 x 11
- Forms Per Page
- 1
- Form Quantity
- 1000
- Sheet Size
- 9 1/2 x 11
- Paper Stock
- 20 lb.
- Copy Types
- Carbonless Duplicate
- Copy Paper Color(s)
- Canary
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Required by Centers for Medicaid and Medicare Services (CMS) and by most private healthcare organizations, these forms speed up claims processing and meet all federal guidelines.