Centers for Medicare and Medicaid Services Forms, 3000 Forms/Carton

$139.99
Tax excluded
Quantity
Expedite Medicare, Medicaid or private insurance benefits. NUCC, CMS and AMA approved format. (02/12) version. Printed front and back in red OCR ink for scanning.

Expedite Medicare, Medicaid or private insurance benefits. NUCC, CMS and AMA approved format. (02/12) version. Printed front and back in red OCR ink for scanning.
TOPS™
TOP50122RV
36 Items

Data sheet

Special Features
Continuous Form
Punching
Dot Matrix Pin Feed Holes
Paper Color(s)
White
Global Product Type
Forms-Insurance
Pre-Consumer Recycled Content Percent
0%
Post-Consumer Recycled Content Percent
0%
Total Recycled Content Percent
0%
Form Size
8 1/2 x 11
Forms Per Page
1
Form Quantity
3000
Principal Heading(s)
1500 Health Insurance Claim Form
Layout
One Form per Sheet
Paper Stock
20-lb.
Print and Ruling Color(s)
OCR Red
Printer Compatibility
Dot Matrix

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