Password Journal, 3 1/4 x 6 1/4, 192 Entries
$4.19
Keep all your user names, passwords and login hints in one place. Convenient pocket size allows you to always have the information at your...
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)
- Canary
- Paper Color(s)
- White
- 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
No customer reviews for the moment.
16 other products in the same category:
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.